Pneumolabyrinth: a systematic review.
Air
Mastoiditis
Otic capsule
Otogenic meningitis
PLF
Pneumolabyrinth
Temporal bone fracture
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
23
02
2021
accepted:
14
04
2021
pubmed:
22
4
2021
medline:
3
11
2021
entrez:
21
4
2021
Statut:
ppublish
Résumé
The aim of this study is to provide a systematic review of the literature about the etiology, clinical and radiological presentation, surgical management, and outcomes of pneumolabyrinth (PNL). A systematic review of the literature was performed including studies published up to September 2020 in electronic databases (PubMed/MEDLINE, EMBASE, Cochrane Library, and Scopus). The PRISMA standard was applied to identify English, Italian, or French-language studies mentioning PNL. Full texts lacking information on the etiology were excluded. Data concerning the cause, site of air bubbles/fistula, clinical presentation, treatment, and outcome were collected. A qualitative synthesis of the results was performed. Seventy-eight articles were eventually included; 132 patients were involved in the qualitative synthesis. The most common causes were: stapes surgery (24/132, 18.2%), temporal bone fracture (42/132, 31.8%), head trauma without temporal bone fracture (19/132, 14.4%), penetrating trauma (21/132, 15.9%), and barotrauma (15/132, 11.4%). The site most commonly involved was the vestibule (102/107, 95.3%), followed by cochlea (43/107, 40.2%) and semicircular canals (25/107, 23.4%). The etiopathogenesis of PNL can be summarized in traumatic, iatrogenic, or inflammatory/infective. Its management consists in exploratory tympanotomy and sealing the fistula, but also conservative treatments can be attempted. Vestibular symptoms disappear in the majority of cases. Instead, the prognosis of hearing function is widely variable, and complete recovery is less probable. The certainty of evidence is still too low to make it useful for clinical decision-making.
Identifiants
pubmed: 33881577
doi: 10.1007/s00405-021-06827-0
pii: 10.1007/s00405-021-06827-0
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
4619-4632Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Mafee MF, Valvassori GE, Kumar A, Yannias DA, Marcus RE (1984) Pneumolabyrinth: a new radiologic sign for fracture of the stapes footplate. Am J Otol 5:374–375
pubmed: 6476089
Hidaka H, Miyazaki M, Kawase T, Kobayashi T (2012) Traumatic pneumolabyrinth: air location and hearing outcome. Otol Neurotol 33:123–131. https://doi.org/10.1097/MAO.0b013e318241bc91
doi: 10.1097/MAO.0b013e318241bc91
pubmed: 22215454
Achache M, Sanjuan Puchol M, Santini L et al (2013) Late pneumolabyrinth after undiagnosed post-traumatic PLF. Case report illustrating the importance of systematic emergency management. Eur Ann Otorhinolaryngol Head Neck Dis 130:283–287. https://doi.org/10.1016/j.anorl.2012.04.012
doi: 10.1016/j.anorl.2012.04.012
pubmed: 23759282
Lao WW, Niparko JK (2007) Assessment of changes in cochlear function with pneumolabyrinth after middle ear trauma. Otol Neurotol 28:1013–1017. https://doi.org/10.1097/MAO.0b013e31815a9f2b
doi: 10.1097/MAO.0b013e31815a9f2b
pubmed: 18043429
Woo HJ, Song SY, Kim YD et al (2008) Pneumolabyrinth without temporal bone fracture: different outcomes for hearing recovery. Laryngoscope 118:1464–1466. https://doi.org/10.1097/MLG.0b013e318172ab03
doi: 10.1097/MLG.0b013e318172ab03
pubmed: 18425047
McGhee MA, Dornhoffer JL (2000) A case of barotrauma-induced pneumolabyrinth secondary to perilymphatic fistula. Ear Nose Throat J 79:456–459
doi: 10.1177/014556130007900611
Choi HG, Lee HJ, Lee JS et al (2015) The rates and clinical characteristics of pneumolabyrinth in temporal bone fracture. Otol Neurotol 36:1048–1053. https://doi.org/10.1097/MAO.0000000000000662
doi: 10.1097/MAO.0000000000000662
pubmed: 25406872
Castellucci A, Botti C, Renna L et al (2021) Enhanced otolith function despite severe labyrinthine damage in a case of pneumolabyrinth and pneumocephalus due to otogenic meningitis associated with superior canal dehiscence. Otol Neurotol 42:e101–e106. https://doi.org/10.1097/MAO.0000000000002835
doi: 10.1097/MAO.0000000000002835
pubmed: 33026781
Prisman E, Ramsden JD, Blaser S, Papsin B (2011) Traumatic perilymphatic fistula with pneumolabyrinth: diagnosis and management. Laryngoscope 121(4):856–859. https://doi.org/10.1002/lary.21439
doi: 10.1002/lary.21439
pubmed: 21305555
Bacciu A, Vincenti V, Prasad SC et al (2014) Pneumolabyrinth secondary to temporal bone fracture: a case report and review of the literature. Int Med Case Rep J 7:127–131. https://doi.org/10.2147/IMCRJ.S66421
doi: 10.2147/IMCRJ.S66421
pubmed: 25246810
pmcid: 4166216
Vandevoorde A, Williams MT, Ukkola-Pons E, Daval M, Ayache D (2017) Early postoperative imaging of the labyrinth by cone beam CT after stapes surgery for otosclerosis with correlation to audiovestibular outcome. Otol Neurotol 38:168–172. https://doi.org/10.1097/MAO.0000000000001306
doi: 10.1097/MAO.0000000000001306
pubmed: 28068300
Bajin MD, Mocan BO, Sarac S, Sennaroglu L (2013) Early computed tomography findings of the inner ear after stapes surgery and its clinical correlations. Otol Neurotol 34:639–643. https://doi.org/10.1097/MAO.0000000000001306
doi: 10.1097/MAO.0000000000001306
pubmed: 23657211
Mandalà M, Colletti L, Carner M et al (2011) Pneumolabyrinth and positional vertigo after stapedectomy. Auris Nasus Larynx 38:547–550. https://doi.org/10.1016/j.anl.2010.12.010
doi: 10.1016/j.anl.2010.12.010
pubmed: 21236609
Ziade G, Barake R, El Natout T et al (2016) Late pneumolabyrinth after stapedectomy. Eur Ann Otorhinolaryngol Head Neck Dis 133:361–363. https://doi.org/10.1016/j.anorl.2015.10.005
doi: 10.1016/j.anorl.2015.10.005
pubmed: 27318888
Kosling S, Woldag K, Meister EF, Reschke I, Heywang-Kobrunner SH (1995) Value of computed tomography in patients with persistent vertigo after stapes surgery. Invest Radiol 30:712–715. https://doi.org/10.1097/00004424-199512000-00004
doi: 10.1097/00004424-199512000-00004
pubmed: 8748184
Scheid SC, Feehery JM, Willcox TO, Lowry LD (2001) Pneumolabyrinth: a late complication of stapes surgery. Ear Nose Throat J 80:750–753. https://doi.org/10.1016/j.anorl.2015.10.005
doi: 10.1016/j.anorl.2015.10.005
pubmed: 11605574
Oda K, Yamamoto H, Kobayashi T, Hidaka H, Ikeda R, Yoshida N (2020) Hearing recovery after ejection of air in a case of traumatic pneumolabyrinth: mechanism and management options. Otol Neurotol 41:359–363. https://doi.org/10.1097/MAO.0000000000002538
doi: 10.1097/MAO.0000000000002538
pubmed: 31821260
Bogaerts M, Waterval J, van Dinther J, Somers T, Zarowski A, Offeciers FE (2014) Treatment of traumatic stapediovestibular luxation: case report with the introduction of a new technique and review of literature. Otol Neurotol 35:582–588. https://doi.org/10.1097/MAO.0000000000000322
doi: 10.1097/MAO.0000000000000322
pubmed: 24622014
Tsubota M, Shojaku H, Watanabe Y (2009) Prognosis of inner ear function in pneumolabyrinth: case report and literature review. Am J Otolaryngol 30:423–426. https://doi.org/10.1016/j.amjoto.2008.07.010
doi: 10.1016/j.amjoto.2008.07.010
pubmed: 19880033
Kobayashi T, Sakurada T, Ohyama K, Takasaka M (1993) Inner ear injury caused by air intrusion to the scala vestibuli of the cochlea. Acta Otolaryngol (Stockh) 113:725–730. https://doi.org/10.3109/00016489309135892
doi: 10.3109/00016489309135892
Kobayashi T, Itoh Z, Sakurada T, Shiga N, Takasaka T (1990) Effect of perilymphatic air perfusion on cochlear potentials. Acta Otolaryngol (Stockh) 110:209–216. https://doi.org/10.3109/00016489009122539
doi: 10.3109/00016489009122539