{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:20:00Z","timestamp":1765905600193,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction\u00a0: La fistule labyrinthique (FL) est une complication redoutable et complexe de l\u2019otite moyenne chronique cholest\u00e9atomateuse (OMCC).\nObjectif\u00a0: \u00c9tudier les caract\u00e9ristiques cliniques et audiom\u00e9triques des patients pr\u00e9sentant une FL cholest\u00e9atomateuse et \u00e9valuer les r\u00e9sultats post op\u00e9ratoires.\nM\u00e9thodes : Il s\u2019agissait d\u2019une \u00e9tude r\u00e9trospective \u00e0 propos de 46 cas de FL cholest\u00e9atomeuses chez 555 patients op\u00e9r\u00e9s pour OMCC au service d\u2019oto-rhino-laryngologie de l\u2019h\u00f4pital La Rabta entre 2010 et 2020.\nR\u00e9sultats\u00a0: L\u2019\u00e2ge moyen des patients \u00e9tait de 43,67 ans. L\u2019incidence des FL \u00e9tait de 8,3%. L\u2019otorrh\u00e9e et l\u2019hypoacousie \u00e9taient les motifs de consultations les plus fr\u00e9quents (87%). Un vertige rotatoire \u00e9tait pr\u00e9sent chez 43,5% des patients. Une paralysie faciale p\u00e9riph\u00e9rique (PFP) \u00e9tait observ\u00e9e chez 5 patients (10,9%).\nUne surdit\u00e9 pr\u00e9 op\u00e9ratoire \u00e9tait associ\u00e9e dans tous les cas, sans corr\u00e9lation statistiquement significative entre la perte de la conduction osseuse et le type de fistule (p : 0,16).\nLe diagnostic de FL a \u00e9t\u00e9 confirm\u00e9 en per op\u00e9ratoire dans tous les cas. Elle int\u00e9ressait toujours le canal semi-circulaire lat\u00e9ral (CSCL), associ\u00e9e ou non \u00e0 d\u2019autres localisations.\nUne am\u00e9lioration des signes vestibulaires a \u00e9t\u00e9 not\u00e9e chez tous les patients. L\u2019audition post-op\u00e9ratoire \u00e9tait bonne chez 73,9% des patients, sans corr\u00e9lation significative entre la perte auditive et le type de fistule (p : 0,09).\nConclusion\u00a0: Les fistules labyrinthiques cholest\u00e9atomateuses pr\u00e9sentent un d\u00e9fi complexe dans la prise en charge des pathologies de l'oreille moyenne. La chirurgie consiste g\u00e9n\u00e9ralement en l\u2019ex\u00e9r\u00e8se du cholest\u00e9atome et la r\u00e9paration de la fistule dans le m\u00eame temps op\u00e9ratoire, avec des r\u00e9sultats auditifs satisfaisants.<\/jats:p>","DOI":"10.62438\/tunismed.v103i2.5191","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:18:58Z","timestamp":1765905538000},"source":"Crossref","is-referenced-by-count":0,"title":["Fistules labyrinthiques cholest\u00e9atomateuses : R\u00e9sultat chirurgical sur la fonction auditive."],"prefix":"10.62438","volume":"103","author":[{"given":"Maamoun","family":"Kriaa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rim","family":"Bechraoui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rihab","family":"Lahmer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maha","family":"Mejbri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maissa","family":"Lajhouri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Najeh","family":"Beltaief","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,2,1]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:18:58Z","timestamp":1765905538000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/5191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,1]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,1]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i2.5191","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,1]]}}}