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Can cochlear function be preserved after a modified translabyrinthine approach to eradicate a huge cholesteatoma extending to the petrous apex?

  • Otology
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Abstract

The objective of the present study was to show that the modified translabyrinthine approach with partial ablation of the labyrinths is useful for preserving hearing in our experience involving three clinical cases with huge cholesteatomas extending to the petrous apex. A retrospective analysis of patient medical records was done in a tertiary referral medical center. All three patients studied had huge cholesteatomas extending to the petrous apex and were treated surgically with a modified translabyrinthine approach between October 2005 and December 2006. The modified translabyrinthine approach was used in all patients. Long-term hearing results were obtained. The cholesteatoma sac was removed completely in all patients. Pure tone audiometry demonstrated that the hearing had been saved in two patients. We concluded that the modified translabyrinthine approach is useful for preserving hearing postoperatively when a huge cholesteatoma exists involving the petrous region or a vestibular schwannoma in the internal auditory canal or cerebellopontine angle.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Chuncheon Sacred Heart Hospital, School of Medicine, Hallym University, #153, Kyo-Dong, Chuncheon, Kangwon, South Korea

    Sung Ju Hong, Jun Ho Lee, Chan Hum Park & Seok Min Hong

  2. Department of Otorhinolaryngology, Head and Neck Surgery, Wonju College of Medicine, Yonsei University, Wonju, South Korea

    Sang Ho Jung

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  1. Sung Ju Hong
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  2. Jun Ho Lee
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  3. Sang Ho Jung
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  4. Chan Hum Park
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  5. Seok Min Hong
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Correspondence to Jun Ho Lee.

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Hong, S.J., Lee, J.H., Jung, S.H. et al. Can cochlear function be preserved after a modified translabyrinthine approach to eradicate a huge cholesteatoma extending to the petrous apex?. Eur Arch Otorhinolaryngol 266, 1191–1197 (2009). https://doi.org/10.1007/s00405-008-0874-7

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  • DOI: https://doi.org/10.1007/s00405-008-0874-7

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