CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S310
DOI: 10.1055/s-0039-1686358
Poster
Otology
Georg Thieme Verlag KG Stuttgart · New York

Objective assessment of vertigo causing perilymphatic fistula in cochlear implantees by cochlin-tomoprotein (CTP)

A Darwish
1  Klinikum Bielefeld, Bielefeld
,
H Sudhoff
1  Klinikum Bielefeld, Bielefeld
,
I Todt
1  Klinikum Bielefeld, Bielefeld
› Author Affiliations
Further Information
Almothana Darwish
Klinikum Bielefeld,
Teutoburger Straße 50, 33604
Bielefeld

Publication History

Publication Date:
23 April 2019 (online)

 

    Objective:

    A well-known and frequently reported complication after cochlear implantation is the appearance of postoperative vertigo symptoms. Perilymphatic fistula (PLF) is a known cause for hearing loss and vertigo. Cochlin-tomoprotein (CTP) is a cochlear specific protein acting as a marker for PLF. Aim of the present study was to observe, if the postoperatively new occurence of vertigo is caused by a perilymphatic fistula evidenced by CTP marker.

    Methods:

    In a prospective analysis 12 cochlear implant patients with the postoperatively new occurence ofvertigo underwent a transtympanallyrevison/resealing surgery. In all patients middle ear fluid was captured and analysed for CTP.

    Results:

    In 5 out of 12 patients a positive CTP result was found indicating a PLF. Positive PLF finding did not correlate with the intraoperative visual assumption of a leak. The procedure solves in most of the cases the vertigo problem.

    Conclusion:

    Our present finding demonstrates that objectively an insufficent sealing causing perilymphatic fistula occurs in cases of newly postoperative vertigo after cochlea implantation.


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    Almothana Darwish
    Klinikum Bielefeld,
    Teutoburger Straße 50, 33604
    Bielefeld