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Labyrinthectomy: Our Experience in a Tertiary Care Centre

  • K. C. Prasad
  • Indu Varsha GopiEmail author
  • T. R. Harshitha
  • Balan Ashok Kumar
  • Prathyusha Koneru
  • Vishwasanthi Pondala
Original Article
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Abstract

Labyrinthectomy is an effective surgical procedure for the management of poorly compensated unilateral peripheral vestibular dysfunction in the presence of a nonserviceable hearing. It involves removal of labyrinthine portion of the inner ear and exenteration of the neuroepithelium. In our institution, 8 cases underwent surgical labyrinthectomy from a period of 2013–2018 for various extensive disease manifestations, age ranges from 2 to 48 years. Includes, a child of 2 years age presented with bilateral foul smelling otorrhoea with external auditory canal cartilaginous stenosis, 5 cases of extensive cholesteatoma with labrynthitis and 2 cases of purulent labrynthitis among them 1 were suffering from Tuberculosis and was on Category 1 ATT and other one suffering from extensive granulation at the tympanomastoid area which was inconclusive of the diagnosis even after histopathological examination, so treated as tuberculosis and started on prophylactic antitubercular treatment in addition to surgery. All patients except the child gave past history of giddiness, but at the time of presentation they were not having giddiness or noticeable nystagmus and all had profound unilateral sensorineural hearing loss. Thus all the patients underwent a radical mastoidectomy with total labyrinthectomy and blind sac closure in 2 patients.

Keywords

Labyrinthectomy Cholesteatoma Aural atresia Radical mastoidectomy Blind sac closure 

Notes

Acknowledgements

We are thankful to Dr S. M. Azeem Mohiyuddin Head of ENT and Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar for his helpful discussion and technical expertise. My sincere and great thanks for Gopinathan Pillai, Associate professor, ENT in Pushpagiri Medical College and Research sciences and Jagan O. A., Lecturer, Clinical Virology Department, Amrita Institute of Medical Science and Research for supporting me and helping in editing the article.

Author Contributions

IVG: Contributed to the design of study, collected samples, did data analysis and drafted the manuscript. Corresponding author for the manuscript. KCP: Contributed to the design of study, data analysis, helped frame and edited the manuscript. TRH: Contributed to the design of study, data analysis, helped frame and edited the manuscript; BAK: Contributed to the design of study, data analysis, helped frame and edited the manuscript. PK: Contributed to the design of study, data analysis, helped frame and edited the manuscript. VP: Contributed to the design of study, data analysis, helped frame and edited the manuscript.

Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest or commercial affiliation related to this study.

References

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Copyright information

© Association of Otolaryngologists of India 2019

Authors and Affiliations

  • K. C. Prasad
    • 1
  • Indu Varsha Gopi
    • 1
    Email author
  • T. R. Harshitha
    • 1
  • Balan Ashok Kumar
    • 1
  • Prathyusha Koneru
    • 1
  • Vishwasanthi Pondala
    • 1
  1. 1.Department of ENT and HNSSri Devraj Urs Medical College and Research CentreKolarIndia

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