American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 6 , Pages 423-426, November 2009

Prognosis of inner ear function in pneumolabyrinth: case report and literature review

  • Masahito Tsubota, MD, PhD
  • ,
  • Hideo Shojaku, MD, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, University of Toyama, 2630 Sugitani, Toyama City, Toyama Prefecture, 9300194, Japan. Tel.: +81 764347368; fax: +81 764345038.
  • ,
  • Yukio Watanabe, MD, PhD

Department of Otolaryngology, University of Toyama, Toyama City, Toyama Prefecture, Japan

Received 10 April 2008 published online 09 March 2009.

Abstract 

Pneumolabyrinth, the presence of air within the labyrinth, is a rare radiologic finding associated with a well-known perilymphatic fistula (PLF). As there are only 24 published case reports in medical literature, multiple treatment options for the pneumolabyrinth are available. We report a case of a 20-year-old man with a pneumolabyrinth secondary to tympanic membrane and ossicular trauma. Despite conservative treatment, sensorineural hearing loss (SNHL) had progressed rapidly, and his profound deafness had not recovered after surgical exploration with closure of the PLF. Functional prognostic factors of SNHL are revised and compared with this case.

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PII: S0196-0709(08)00143-9

doi:10.1016/j.amjoto.2008.07.010

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 30, Issue 6 , Pages 423-426, November 2009