Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1985-11-12
pubmed:abstractText
In tympanoplasty, trauma to the cochlea is usually caused by the transmission of vibration induced during the removal of cholesteatoma, granulation tissue, and tympanosclerosis surrounding the ossicular chain. In 100 sequential cases 20 showed evidence of cochlear trauma. Hearing was recovered in 10 of these cases during the immediate postoperative period. In nine the hearing was partially recovered but remained below the preoperative bone-conduction level, and in one there was a total cochlear hearing loss. When the stapes footplate was fractured or dislocated and a perilymphatic fistula developed, profound cochlear hearing loss occurred. This complication usually can be avoided by inspection of the round and oval windows under high magnification and by tissue grafts over the fistula. An unanticipated pathologic fistula of the semicircular canals is another common source of major cochlear damage. Despite all precautions and sometimes without apparent cause, a total cochlear hearing loss may result after a tympanoplasty. Although this is rare, as evidenced by the fact that there were only 15 cases in some 1000 tympanoplasties, before surgery the surgeon must inform the patient of the risks involved.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0194-5998
pubmed:author
pubmed:issnType
Print
pubmed:volume
93
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
482-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1985
pubmed:articleTitle
Cochlear hearing loss in tympanoplasty.
pubmed:publicationType
Journal Article