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LABYRINTHITIS

Labyrinthitis is an infection of the inner ear that can occur in three stages: fistula formation, serous labyrinthitis, and purulent labyrinthitis. It is commonly caused by infections like TB or syphilis, but can also be caused by viruses, vascular issues, acoustic neuromas, or ototoxic drugs. Clinical features include sensory neural deafness, tinnitus, giddiness, vomiting, and nystagmus. Treatment may involve mastoidectomy or labyrinthectomy to drain the mastoid air cells or remove the infected labyrinth, along with antibiotics. Physical therapy after the acute infection involves eye and head movements to help regain vestibular function

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Eric Christian
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41 views17 pages

LABYRINTHITIS

Labyrinthitis is an infection of the inner ear that can occur in three stages: fistula formation, serous labyrinthitis, and purulent labyrinthitis. It is commonly caused by infections like TB or syphilis, but can also be caused by viruses, vascular issues, acoustic neuromas, or ototoxic drugs. Clinical features include sensory neural deafness, tinnitus, giddiness, vomiting, and nystagmus. Treatment may involve mastoidectomy or labyrinthectomy to drain the mastoid air cells or remove the infected labyrinth, along with antibiotics. Physical therapy after the acute infection involves eye and head movements to help regain vestibular function

Uploaded by

Eric Christian
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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LABYRINTHITIS

MASTOIDECTOMY
ANATOMY:
• LABYRINTH-INNER EAR
• It lies in the petrous part of the temporal bone.
• It consists of 2 parts:
• BONY LABYRINTH:COCHLEA,VESTIBULE,SEMICIRCULAR
CANAL
• MEMBRANOUS LABYRINTH:WITHIN BONY
LABYRINTH:UTICLE,SACCULE,DUCTS OF SEMICIRCULAR
CANAL.
• The infection may occur in 3 stages:
• FISTULA FORMATION(PARALABYRINTHITIS):Without active
clinical features.
• At this stage the infection does not reach the membrane labyrinth.
• SEROUS LABYRINTHITIS:
• REVERSIBLE CONDITION
• PURULENT LABYRINTHITIS:PERMANENT DEAFNESS AND LOSS
OF VESTIBULAR FUNCTION.
• CAUSES:
• INFECTION
• TB
• SYPHILIS
• SECONDARY TO MENINGITIS
• VIRAL
• VASCULAR CAUSES
• ACOUSTIC NEUROMA
• OTOTOXIC DRUGS(STREPTOMYCIN)
• MENIERE’s DISEASE:VERTIGO,DEAFNESS AND TINNITUS
• CLINICAL FEATURES:
• Sensory neural deafness
• Tinnitus
• Giddiness
• Vomiting
• Nystagmus.
• Permanent labyrinthitis leads to permanent total sensory neural deafness
while the giddiness usually settles down in 3 to 4 weeks as the labyrinth of
the other side takes over its function.
TREATMENT:
MASTOIDECTOMY
LABYRINTHECTOMY
ANTIBIOTICS
MASTOIDECTOMY:
It is a surgical procedure performed to remove the mastoid air cells.
It can be done as a part of treatment of mastoiditis.
Or Chronic suppurative otitis media.
Classification:
SIMPLE MASTOIDECTOMY:
• Aims at draining the mastoid air cells by a postero anterior approach.
• Doesn’t affect the structure of middle ear
• Hearing unaffected.
RADICAL MASTOIDECTOMY:
In this operation,mastoid ,middle ear and auditory canal are converted to a
single cavity by lowering the wall between mastoid and external ear and by
the removal of ruminants of the ear drum.Malleus ,incus removed,stapes is
intact
CONDUCTIVE DEAFNESS IS A SEQUALE OF THIS OPERATION.
RADICAL MASTOIDECTOMY
MODIFIED RADICAL MASTOIDECTOMY:
• Mastoid ,attic and external ear are converted into a single cavity without
touching the mesotympanum.
• Hearing is not affected.
PT MANAGEMENT OF LABYRINTHITIS

• AFTER ACUTE INFECTION AND INFLAMMATION RESOLVES

• EYEBALL MOVEMENTS
• HEAD MOVEMENTS IN A SAFE RANGE WHICH DOESN’T
TRIGGER VERTIGO.

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