{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:05:23Z","timestamp":1787018723492,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1991,1,1]],"date-time":"1991-01-01T00:00:00Z","timestamp":662688000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:p>The surgical management of labyrinthine fistulas caused by cholesteatoma remains controversial. Forty cases (41 ears) of labyrinthine fistulas were reviewed. This represented 10% of our total series of cholesteatomas in adults and children (426 ears). Clinical presentation, extent of disease, results of fistula testing and audiometric studies, and radiographic findings were analyzed. A canal wall\u2010down procedure was performed in all but one patient. Generally an attempt was made to completely remove the cholesteatoma, to graft the fistulous area, and to reconstruct the middle ear mechanism in one stage. The matrix was preserved in patients with large fistulas where the involved ear was the only hearing one, when the matrix was adherent to the underlying optic duct, and in selected elderly persons. Long\u2010term followup did not reveal a significant difference in hearing, degree of vertigo, or incidence of recidivism when those patients in whom the matrix was removed were compared with those in whom the matrix was preserved. The importance of recognizing the presence of a labyrinthine fistula preoperatively is stressed, along with the need to be prepared for an unexpected fistula. Operative management is described.<\/jats:p>","DOI":"10.1177\/019459989110400120","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:42:29Z","timestamp":1448433749000},"page":"110-115","source":"Crossref","is-referenced-by-count":41,"title":["Management of labyrinthine fistulas caused by cholesteatoma"],"prefix":"10.1002","volume":"104","author":[{"given":"Simon C.","family":"Parisier","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Manhattan Eye, Ear, and Throat Hospital New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Edelstein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Manhattan Eye, Ear, and Throat Hospital New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin C.","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Manhattan Eye, Ear, and Throat Hospital New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael H.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Manhattan Eye, Ear, and Throat Hospital New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1991,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1971.00770060107014"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100062812"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780040147012"},{"key":"e_1_2_1_5_1","first-page":"161","article-title":"Is cholesteatoma the same disease in children and adults?","volume":"76","author":"Parisier SC","year":"1988","journal-title":"Trans Am Otol Soc"},{"key":"e_1_2_1_6_1","unstructured":"ParisierSC EdelsteinDR LerchR FriedensohnP.Treatment of unresectable cholesteatoma. Presented at the Triological Society Palm Beach Fla. May 7 1986."},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197901000-00008"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100080634"},{"key":"e_1_2_1_9_1","first-page":"165","article-title":"Treatment of labyrinthine fistulae by a closed technique","volume":"46","author":"Tos M","year":"1984","journal-title":"ORL J Rhinolaryngol Relat Spec"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000275704"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709600201"},{"key":"e_1_2_1_12_1","first-page":"694","article-title":"Why I remove the matrix","author":"Walsh TE","year":"1953","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_13_1","first-page":"694","article-title":"Why and when I do not remove the matrix","author":"Baron SH","year":"1953","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_14_1","first-page":"3","article-title":"The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma","volume":"83","author":"Gacek RR","year":"1974","journal-title":"Ann Otol"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197007000-00001"},{"key":"e_1_2_1_16_1","first-page":"189","volume-title":"Chronic ear disease","author":"Smyth GDL","year":"1980"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110400120","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989110400120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:06:47Z","timestamp":1760951207000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989110400120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1177\/019459989110400120"],"URL":"https:\/\/doi.org\/10.1177\/019459989110400120","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}