\documentclass[11pt,twoside]{article}\makeatletter

\IfFileExists{xcolor.sty}%
  {\RequirePackage{xcolor}}%
  {\RequirePackage{color}}
\usepackage{colortbl}
\usepackage{wrapfig}
\usepackage{ifxetex}
\ifxetex
  \usepackage{fontspec}
  \usepackage{xunicode}
  \catcode`⃥=\active \def⃥{\textbackslash}
  \catcode`❴=\active \def❴{\{}
  \catcode`❵=\active \def❵{\}}
  \def\textJapanese{\fontspec{Noto Sans CJK JP}}
  \def\textChinese{\fontspec{Noto Sans CJK SC}}
  \def\textKorean{\fontspec{Noto Sans CJK KR}}
  \setmonofont{DejaVu Sans Mono}
  
\else
  \IfFileExists{utf8x.def}%
   {\usepackage[utf8x]{inputenc}
      \PrerenderUnicode{–}
    }%
   {\usepackage[utf8]{inputenc}}
  \usepackage[english]{babel}
  \usepackage[T1]{fontenc}
  \usepackage{float}
  \usepackage[]{ucs}
  \uc@dclc{8421}{default}{\textbackslash }
  \uc@dclc{10100}{default}{\{}
  \uc@dclc{10101}{default}{\}}
  \uc@dclc{8491}{default}{\AA{}}
  \uc@dclc{8239}{default}{\,}
  \uc@dclc{20154}{default}{ }
  \uc@dclc{10148}{default}{>}
  \def\textschwa{\rotatebox{-90}{e}}
  \def\textJapanese{}
  \def\textChinese{}
  \IfFileExists{tipa.sty}{\usepackage{tipa}}{}
\fi
\def\exampleFont{\ttfamily\small}
\DeclareTextSymbol{\textpi}{OML}{25}
\usepackage{relsize}
\RequirePackage{array}
\def\@testpach{\@chclass
 \ifnum \@lastchclass=6 \@ne \@chnum \@ne \else
  \ifnum \@lastchclass=7 5 \else
   \ifnum \@lastchclass=8 \tw@ \else
    \ifnum \@lastchclass=9 \thr@@
   \else \z@
   \ifnum \@lastchclass = 10 \else
   \edef\@nextchar{\expandafter\string\@nextchar}%
   \@chnum
   \if \@nextchar c\z@ \else
    \if \@nextchar l\@ne \else
     \if \@nextchar r\tw@ \else
   \z@ \@chclass
   \if\@nextchar |\@ne \else
    \if \@nextchar !6 \else
     \if \@nextchar @7 \else
      \if \@nextchar (8 \else
       \if \@nextchar )9 \else
  10
  \@chnum
  \if \@nextchar m\thr@@\else
   \if \@nextchar p4 \else
    \if \@nextchar b5 \else
   \z@ \@chclass \z@ \@preamerr \z@ \fi \fi \fi \fi
   \fi \fi  \fi  \fi  \fi  \fi  \fi \fi \fi \fi \fi \fi}
\gdef\arraybackslash{\let\\=\@arraycr}
\def\@textsubscript#1{{\m@th\ensuremath{_{\mbox{\fontsize\sf@size\z@#1}}}}}
\def\Panel#1#2#3#4{\multicolumn{#3}{){\columncolor{#2}}#4}{#1}}
\def\abbr{}
\def\corr{}
\def\expan{}
\def\gap{}
\def\orig{}
\def\reg{}
\def\ref{}
\def\sic{}
\def\persName{}\def\name{}
\def\placeName{}
\def\orgName{}
\def\textcal#1{{\fontspec{Lucida Calligraphy}#1}}
\def\textgothic#1{{\fontspec{Lucida Blackletter}#1}}
\def\textlarge#1{{\large #1}}
\def\textoverbar#1{\ensuremath{\overline{#1}}}
\def\textquoted#1{‘#1’}
\def\textsmall#1{{\small #1}}
\def\textsubscript#1{\@textsubscript{\selectfont#1}}
\def\textxi{\ensuremath{\xi}}
\def\titlem{\itshape}
\newenvironment{biblfree}{}{\ifvmode\par\fi }
\newenvironment{bibl}{}{}
\newenvironment{byline}{\vskip6pt\itshape\fontsize{16pt}{18pt}\selectfont}{\par }
\newenvironment{citbibl}{}{\ifvmode\par\fi }
\newenvironment{docAuthor}{\ifvmode\vskip4pt\fontsize{16pt}{18pt}\selectfont\fi\itshape}{\ifvmode\par\fi }
\newenvironment{docDate}{}{\ifvmode\par\fi }
\newenvironment{docImprint}{\vskip 6pt}{\ifvmode\par\fi }
\newenvironment{docTitle}{\vskip6pt\bfseries\fontsize{22pt}{25pt}\selectfont}{\par }
\newenvironment{msHead}{\vskip 6pt}{\par}
\newenvironment{msItem}{\vskip 6pt}{\par}
\newenvironment{rubric}{}{}
\newenvironment{titlePart}{}{\par }

\newcolumntype{L}[1]{){\raggedright\arraybackslash}p{#1}}
\newcolumntype{C}[1]{){\centering\arraybackslash}p{#1}}
\newcolumntype{R}[1]{){\raggedleft\arraybackslash}p{#1}}
\newcolumntype{P}[1]{){\arraybackslash}p{#1}}
\newcolumntype{B}[1]{){\arraybackslash}b{#1}}
\newcolumntype{M}[1]{){\arraybackslash}m{#1}}
\definecolor{label}{gray}{0.75}
\def\unusedattribute#1{\sout{\textcolor{label}{#1}}}
\DeclareRobustCommand*{\xref}{\hyper@normalise\xref@}
\def\xref@#1#2{\hyper@linkurl{#2}{#1}}
\begingroup
\catcode`\_=\active
\gdef_#1{\ensuremath{\sb{\mathrm{#1}}}}
\endgroup
\mathcode`\_=\string"8000
\catcode`\_=12\relax

\usepackage[a4paper,twoside,lmargin=1in,rmargin=1in,tmargin=1in,bmargin=1in,marginparwidth=0.75in]{geometry}
\usepackage{framed}

\definecolor{shadecolor}{gray}{0.95}
\usepackage{longtable}
\usepackage[normalem]{ulem}
\usepackage{fancyvrb}
\usepackage{fancyhdr}
\usepackage{graphicx}
\usepackage{marginnote}

\renewcommand{\@cite}[1]{#1}


\renewcommand*{\marginfont}{\itshape\footnotesize}

\def\Gin@extensions{.pdf,.png,.jpg,.mps,.tif}

  \pagestyle{fancy}

\usepackage[pdftitle={Management of the Labyrinthine Fistula in Chronic Otitis Media with Cholesteatoma},
 pdfauthor={}]{hyperref}
\hyperbaseurl{}

	 \paperwidth210mm
	 \paperheight297mm
              
\def\@pnumwidth{1.55em}
\def\@tocrmarg {2.55em}
\def\@dotsep{4.5}
\setcounter{tocdepth}{3}
\clubpenalty=8000
\emergencystretch 3em
\hbadness=4000
\hyphenpenalty=400
\pretolerance=750
\tolerance=2000
\vbadness=4000
\widowpenalty=10000

\renewcommand\section{\@startsection {section}{1}{\z@}%
     {-1.75ex \@plus -0.5ex \@minus -.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\Large\bfseries}}
\renewcommand\subsection{\@startsection{subsection}{2}{\z@}%
     {-1.75ex\@plus -0.5ex \@minus- .2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\Large}}
\renewcommand\subsubsection{\@startsection{subsubsection}{3}{\z@}%
     {-1.5ex\@plus -0.35ex \@minus -.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\large}}
\renewcommand\paragraph{\@startsection{paragraph}{4}{\z@}%
     {-1ex \@plus-0.35ex \@minus -0.2ex}%
     {0.5ex \@plus .2ex}%
     {\reset@font\normalsize}}
\renewcommand\subparagraph{\@startsection{subparagraph}{5}{\parindent}%
     {1.5ex \@plus1ex \@minus .2ex}%
     {-1em}%
     {\reset@font\normalsize\bfseries}}


\def\l@section#1#2{\addpenalty{\@secpenalty} \addvspace{1.0em plus 1pt}
 \@tempdima 1.5em \begingroup
 \parindent \z@ \rightskip \@pnumwidth 
 \parfillskip -\@pnumwidth 
 \bfseries \leavevmode #1\hfil \hbox to\@pnumwidth{\hss #2}\par
 \endgroup}
\def\l@subsection{\@dottedtocline{2}{1.5em}{2.3em}}
\def\l@subsubsection{\@dottedtocline{3}{3.8em}{3.2em}}
\def\l@paragraph{\@dottedtocline{4}{7.0em}{4.1em}}
\def\l@subparagraph{\@dottedtocline{5}{10em}{5em}}
\@ifundefined{c@section}{\newcounter{section}}{}
\@ifundefined{c@chapter}{\newcounter{chapter}}{}
\newif\if@mainmatter 
\@mainmattertrue
\def\chaptername{Chapter}
\def\frontmatter{%
  \pagenumbering{roman}
  \def\thechapter{\@roman\c@chapter}
  \def\theHchapter{\roman{chapter}}
  \def\thesection{\@roman\c@section}
  \def\theHsection{\roman{section}}
  \def\@chapapp{}%
}
\def\mainmatter{%
  \cleardoublepage
  \def\thechapter{\@arabic\c@chapter}
  \setcounter{chapter}{0}
  \setcounter{section}{0}
  \pagenumbering{arabic}
  \setcounter{secnumdepth}{6}
  \def\@chapapp{\chaptername}%
  \def\theHchapter{\arabic{chapter}}
  \def\thesection{\@arabic\c@section}
  \def\theHsection{\arabic{section}}
}
\def\backmatter{%
  \cleardoublepage
  \setcounter{chapter}{0}
  \setcounter{section}{0}
  \setcounter{secnumdepth}{2}
  \def\@chapapp{\appendixname}%
  \def\thechapter{\@Alph\c@chapter}
  \def\theHchapter{\Alph{chapter}}
  \appendix
}
\newenvironment{bibitemlist}[1]{%
   \list{\@biblabel{\@arabic\c@enumiv}}%
       {\settowidth\labelwidth{\@biblabel{#1}}%
        \leftmargin\labelwidth
        \advance\leftmargin\labelsep
        \@openbib@code
        \usecounter{enumiv}%
        \let\p@enumiv\@empty
        \renewcommand\theenumiv{\@arabic\c@enumiv}%
	}%
  \sloppy
  \clubpenalty4000
  \@clubpenalty \clubpenalty
  \widowpenalty4000%
  \sfcode`\.\@m}%
  {\def\@noitemerr
    {\@latex@warning{Empty `bibitemlist' environment}}%
    \endlist}

\def\tableofcontents{\section*{\contentsname}\@starttoc{toc}}
\parskip0pt
\parindent1em
\def\Panel#1#2#3#4{\multicolumn{#3}{){\columncolor{#2}}#4}{#1}}
\newenvironment{reflist}{%
  \begin{raggedright}\begin{list}{}
  {%
   \setlength{\topsep}{0pt}%
   \setlength{\rightmargin}{0.25in}%
   \setlength{\itemsep}{0pt}%
   \setlength{\itemindent}{0pt}%
   \setlength{\parskip}{0pt}%
   \setlength{\parsep}{2pt}%
   \def\makelabel##1{\itshape ##1}}%
  }
  {\end{list}\end{raggedright}}
\newenvironment{sansreflist}{%
  \begin{raggedright}\begin{list}{}
  {%
   \setlength{\topsep}{0pt}%
   \setlength{\rightmargin}{0.25in}%
   \setlength{\itemindent}{0pt}%
   \setlength{\parskip}{0pt}%
   \setlength{\itemsep}{0pt}%
   \setlength{\parsep}{2pt}%
   \def\makelabel##1{\upshape ##1}}%
  }
  {\end{list}\end{raggedright}}
\newenvironment{specHead}[2]%
 {\vspace{20pt}\hrule\vspace{10pt}%
  \phantomsection\label{#1}\markright{#2}%

  \pdfbookmark[2]{#2}{#1}%
  \hspace{-0.75in}{\bfseries\fontsize{16pt}{18pt}\selectfont#2}%
  }{}
      \def\TheFullDate{2016-01-15 (revised: 15 January 2016)}
\def\TheID{\makeatother }
\def\TheDate{2016-01-15}
\title{Management of the Labyrinthine Fistula in Chronic Otitis Media with Cholesteatoma}
\author{}\makeatletter 
\makeatletter
\newcommand*{\cleartoleftpage}{%
  \clearpage
    \if@twoside
    \ifodd\c@page
      \hbox{}\newpage
      \if@twocolumn
        \hbox{}\newpage
      \fi
    \fi
  \fi
}
\makeatother
\makeatletter
\thispagestyle{empty}
\markright{\@title}\markboth{\@title}{\@author}
\renewcommand\small{\@setfontsize\small{9pt}{11pt}\abovedisplayskip 8.5\p@ plus3\p@ minus4\p@
\belowdisplayskip \abovedisplayskip
\abovedisplayshortskip \z@ plus2\p@
\belowdisplayshortskip 4\p@ plus2\p@ minus2\p@
\def\@listi{\leftmargin\leftmargini
               \topsep 2\p@ plus1\p@ minus1\p@
               \parsep 2\p@ plus\p@ minus\p@
               \itemsep 1pt}
}
\makeatother
\fvset{frame=single,numberblanklines=false,xleftmargin=5mm,xrightmargin=5mm}
\fancyhf{} 
\setlength{\headheight}{14pt}
\fancyhead[LE]{\bfseries\leftmark} 
\fancyhead[RO]{\bfseries\rightmark} 
\fancyfoot[RO]{}
\fancyfoot[CO]{\thepage}
\fancyfoot[LO]{\TheID}
\fancyfoot[LE]{}
\fancyfoot[CE]{\thepage}
\fancyfoot[RE]{\TheID}
\hypersetup{citebordercolor=0.75 0.75 0.75,linkbordercolor=0.75 0.75 0.75,urlbordercolor=0.75 0.75 0.75,bookmarksnumbered=true}
\fancypagestyle{plain}{\fancyhead{}\renewcommand{\headrulewidth}{0pt}}

\date{}
\usepackage{authblk}

\providecommand{\keywords}[1]
{
\footnotesize
  \textbf{\textit{Index terms---}} #1
}

\usepackage{graphicx,xcolor}
\definecolor{GJBlue}{HTML}{273B81}
\definecolor{GJLightBlue}{HTML}{0A9DD9}
\definecolor{GJMediumGrey}{HTML}{6D6E70}
\definecolor{GJLightGrey}{HTML}{929497} 

\renewenvironment{abstract}{%
   \setlength{\parindent}{0pt}\raggedright
   \textcolor{GJMediumGrey}{\rule{\textwidth}{2pt}}
   \vskip16pt
   \textcolor{GJBlue}{\large\bfseries\abstractname\space}
}{%   
   \vskip8pt
   \textcolor{GJMediumGrey}{\rule{\textwidth}{2pt}}
   \vskip16pt
}

\usepackage[absolute,overlay]{textpos}

\makeatother 
      \usepackage{lineno}
      \linenumbers
      
\begin{document}

             \author[1]{  Z.Chafiki}

             \affil[1]{  Ibn Rochd University Hospital, Casablanca, Morocco}

\renewcommand\Authands{ and }

\date{\small \em Received: 7 December 2015 Accepted: 2 January 2016 Published: 15 January 2016}

\maketitle


\begin{abstract}
        


Labyrinthine fistula, defined by a destruction of the bony labyrinth is one of the most feared complications during the evolution of a chronic otitis media with cholesteatoma. Relatively common, it represents 4-12% cases of chronic otitis media with cholesteatoma and essentially occurs in the lateral semi-circular canal (70-80% of cases).The abnormal opening of the bony labyrinth in the middle ear runs the risk of recurrent labyrinthitis with dizziness, sensorineural hearing loss, purulent labyrinthitis and meningitis. Its treatment is surgical, however, an alteration of cochleovestibular function during surgery may occur.We propose in this development to review signs that suggest this complication and to establish a practical management of labyrinthine fistula in chronic otitis media with cholesteatoma.

\end{abstract}


\keywords{cholesteatoma; fistula; labyrinthine; perilym-phatic; surgery.}

\begin{textblock*}{18cm}(1cm,1cm) % {block width} (coords) 
\textcolor{GJBlue}{\LARGE Global Journals \LaTeX\ JournalKaleidoscope\texttrademark}
\end{textblock*}

\begin{textblock*}{18cm}(1.4cm,1.5cm) % {block width} (coords) 
\textcolor{GJBlue}{\footnotesize \\ Artificial Intelligence formulated this projection for compatibility purposes from the original article published at Global Journals. However, this technology is currently in beta. \emph{Therefore, kindly ignore odd layouts, missed formulae, text, tables, or figures.}}
\end{textblock*}


\let\tabcellsep& 	 	 		 
\section[{I. Introduction}]{I. Introduction}\par
he labyrinthine fistula, defined by a destruction of the bony labyrinth, is acommon condition in the evolution of chronic otitis cholesteatoma (4-12\% of cases) \hyperref[b0]{[1]}. In terms of nosology, we conventionally distinguishbony labyrinth lysis (LOL) from perilymphatic fistula (PF). 
\section[{II. Anatomical Presentations of}]{II. Anatomical Presentations of}\par
Labyrinthine Fistulas a) Sites Fistulas are located:\par
-Essentially on the lateral semi-circular canal (70-80\% of cases), mostly in the middle of it sloop or slightly behind, -More rarely on the promontory, the superior or the posterior semi-circular canal, and the stapes footplate. The combination of several fistulas may occur. \hyperref[b1]{[2]}\hyperref[b2]{[3]} b) Lesions Labyrinthine fistulas are classified by the size and depth of invasion \hyperref[b3]{[4]}:\par
The size is defined by the diameter of bone erosion (<2mm and> 2 mm) .Narrow fistula of less than 2 mm on the largest diameter, where the matrix of the cholesteatoma is less likely to pass , present a low risk of invasion of the membranous labyrinth.\par
The prognosis of labyrinthine fistula is correlated with depth. -Perilymph leaking in case of a permeable canal.\par
-Bulgeof the membranous canal in case of perilymph blocking.\par
III. When to Suspect a Labyrinthine Fistula? Some circumstances may evoke this complication, especially if a chronic otitis is evolving for many years. However, it can also be observed in children. 
\section[{Recall in case of:}]{Recall in case of:}\par
-History of dizziness, frequently found at the anamnesis and described as "Little dizziness" or brief episodes of imbalance, -Sign of the fistula, by finger pressure on the tragus, systematic measure to seek in all chronic otitis examination, -Facial paralysis, -Facial canal Lysis, during surgery. However, absence of dizziness and fistula sign does not totally eliminate labyrinthine fistula.  That's why imaging is usually decisive in the preoperative. CT scan with millimeter cuts allows in general positive and topographic diagnosis of the fistula. However, it isn't sensitive enough to affirm or eliminate extension to endosteum, which will define surgical procedure and functional prognosis. In theory, MRI is the best way to diagnose a labyrinthine fistula by highlighting: Consequences: \hyperref[b7]{[8]} 1st notion: Labyrinthine fistula has to be feared in any chronic otitis media surgery. The operative strategy must take this into account and consider that there is a possible fistula until proven otherwise. 2nd notion:\par
When inflammatory tissue is discovered in a "risk area", such as in the lateral semi-circular canal, avoid any dissection that would expose the membranous labyrinth. First, search for a fistula by gentle pressure on the stapes. 3rd notion:\par
Once the fistula is found, or even merely suspected, the site must be protected by an absorbable sponge or paper piece, until its treatment. 4th notion:\par
To treat labyrinthine fistula in best conditions, bloodless surgical field is imperative for a lesser use of suction which is a very important bone conduction impairment factor. 5th notion: Accordingly, labyrinthine fistula must be proceed at the end of surgery, when there is no milling and therefore no heavy suction. Also, cholesteatoma dissection should be conclude by areas likely to be the site of alabyrinthine fistula, mainly lateral semi-circular canaland promontory. Management of Labyrinthine Fistula: \hyperref[b8]{[9]}\hyperref[b10]{[10]} Management of labyrinthine fistula still raises discussions because:\par
-Leaving the cholesteatoma matrix theoretically expose to a further erosion bone and recurrent cholesteatoma. -Removing the matrix may cause bone conduction impairment or even deafness in cases of membranous labyrinth trauma. 
\section[{Fistula of the lateral semi-circular canal:}]{Fistula of the lateral semi-circular canal:}\par
Towards cholesteatoma, two perspectives are opposed. The matrix dissection. It can be performed under reserve of:\par
-Using a very fine suction, through an absorbable sponge ball if necessary and non-traumatic instruments, like button-hook stopping at every grip.\par
-Lining the area with a large fascia fragmentat the end of the matrix dissection, eventually with the use of a biological glue.\par
-Leaving an epidermal layer over all or part of the fistula, whichis a wise solution : -In case of One-off ear or better ear.\par
-If the cholesteatoma matrix adheres to the membranous labyrinth or Granulomatous area, or if the ear is infected. 
\section[{Towards the bony fistula, one can:}]{Towards the bony fistula, one can:}\par
-Simply cover the area with a temporal fascia fragment and possibly with the use of biological glue, if the lumen of the canal is not exposed. -Closing with bone powder if the canal is open, before covering with the fascia.\par
In case of labyrinthine leaking, especially during palpation of the stapes, simply covering the site with a fragment of fascia may not be enough to stop the fluid flow, which is a bone conduction impairment factor. Filling the lumen of the canal with the bony powder (optionally with the biological glue) can effectively plug the fistula.\par
In case of labyrinthine fistula on a deaf ear the procedure must initially seal the canal lumen with bone powder before covering it with temporal fascia to avoid a possible spread of infection to the subarachnoid spaces. Fistula of the promontory:\par
Cochlear function prognosis are worse in promontory fistulas than lateral semi-circular canal ones. Therefore, Caution is to leave a thin matrix layer and line it by temporal fascia fragment. Canal Wall up or Canal Wall Down Tympanoplasty? :  {\ref [9-10-11-12]} The presence of a labyrinthine fistula is not a deciding factor for the type of procedure.\par
Technique choice depend on some general factors but especially on characteristics of cholesteatoma. In addition, it appears that the choice of the technique does not influence bone curve quality in postoperative. Apart from some particular circumstances (multi-operated ear, multiple fistulas, one-off ear) or when letting up the matrix (large fistula of the posterior canal, promontory and cochlear fistula), It's suitable to recommend a canal wall up to facilitate à further monitoring. Hearing Results of Labyrinthine Fistula Surgery: \hyperref[b11]{[11]} Average postoperative deafness risk is 10\% and most of the time unpredictable. However, if the cochlear function is usually spared, the risk seems correlated for some authors to the size of the fistula and its site, which lead to a greater caution in case ofa large fistula or a dicey site. 
\section[{IV. Conclusion}]{IV. Conclusion}\par
Labyrinthine fistula is a common complication of chronic otitis media with cholesteatoma. Diagnosis is based on clinical features and imaging (MRI, CT +/-). However, Surgery remains the only way to diagnose for sure a labyrinthine fistula. 
\section[{Volume XVI Issue I Version I}]{Volume XVI Issue I Version I}\par
Surgeon must remain cautious whenever operating a large cholesteatoma, because CT scan can be falsely reassuring.\par
The choice of surgical technique (canal wall up or canal wall down tympanoplasty) is more likely defined by the characteristics of cholesteatoma than by the presence or the nature of the fistula.\begin{figure}[htbp]
\noindent\textbf{}\includegraphics[]{image-2.png}
\caption{\label{fig_0}?}\end{figure}
 			\footnote{© 2016 Global Journals Inc. (US)} 		 		\backmatter  			  				\begin{bibitemlist}{1}
\bibitem[ Ann Otol Rhinol Laryngol ()]{b9}\label{b9} 	 		\textit{},  	 	 		\textit{Ann Otol Rhinol Laryngol}  		1974. 83  (10)  p. .  	 	 (Suppl) 
\bibitem[ ORL J Otorhinolaryngol Relat Spec ()]{b13}\label{b13} 	 		\textit{},  	 	 		\textit{ORL J Otorhinolaryngol Relat Spec}  		1989. 51 p. .  	 
\bibitem[Sheehy and Brackmann ()]{b10}\label{b10} 	 		‘Cholesteatoma surgery: Management of the labyrinthine fistula-a report of 97 cases’.  		 			J L Sheehy 		,  		 			D E Brackmann 		.  	 	 		\textit{Laryngoscope}  		1979. 89 p. .  	 
\bibitem[Sanna et al. ()]{b11}\label{b11} 	 		‘Closed versus open technique in the management of labyrinthine fistula’.  		 			M Sanna 		,  		 			C Zinni 		,  		 			R Gamoletti 		.  	 	 		\textit{Am J Otol}  		1988. 9 p. .  	 
\bibitem[Greenberg and Manolidis ()]{b1}\label{b1} 	 		‘High incidence of complications encountered in chronic otitis media surgery in a U.S. metropolitan public hospital’.  		 			J S Greenberg 		,  		 			S Manolidis 		.  	 	 		\textit{Otolaryngol Head Neck Surg}  		2001. 125 p. .  	 
\bibitem[Kvestad et al. ()]{b5}\label{b5} 	 		‘Labyrinthine fistula detection: the predictive value of vestibular symptoms and computerized tomography’.  		 			E Kvestad 		,  		 			K J Kvaerner 		,  		 			I W Mair 		.  	 	 		\textit{Acta Otolaryngol (Stockh)}  		2001. 121 p. .  	 
\bibitem[Parisier et al. ()]{b7}\label{b7} 	 		‘Management of labyrinthine fistulas caused by cholesteatoma’.  		 			S C Parisier 		,  		 			D R Edelstein 		,  		 			J C Han 		.  	 	 		\textit{Otolaryngol Head Neck Surg}  		1991. 104 p. .  	 
\bibitem[Copeland and Buchman ()]{b0}\label{b0} 	 		‘Management of labyrinthine fistulas in chronic ear surgery’.  		 			B J Copeland 		,  		 			C A Buchman 		.  	 	 		\textit{Am J Otolaryngol}  		2003. 24 p. .  	 
\bibitem[Dornhoffer and Milewski ()]{b4}\label{b4} 	 		‘Management of the open labyrinth’.  		 			J L Dornhoffer 		,  		 			C Milewski 		.  	 	 		\textit{Otolaryngol Head Neck Surg}  		1995. 112 p. .  	 
\bibitem[Smadja et al. ()]{b6}\label{b6} 	 		‘Preoperative evaluation of translabyrinthine cholesteatomas by MRI’.  		 			P Smadja 		,  		 			O Deguine 		,  		 			B Fraysse 		.  	 	 		\textit{J Radiol}  		1999. 80 p. .  	 
\bibitem[Chang Hyun Cho et al. ()]{b2}\label{b2} 	 		‘Preservation of Post Operative Bone Conduction Hearing after Labyrinthine Fistula Repair in Chronic Otitis Media with Cholesteatoma’.  		 			Chang Hyun Cho 		,  		 			Cherl Ho 		,  		 			Jae Hong Yang 		,  		 			Yong Woo Aum 		,  		 			Ju Hyoung Kim 		,  		 			Lee 		.  	 	 		\textit{IntAdvOtol}  		2014. 10  (1)  p. .  	 
\bibitem[Ostri and Bak-Pedersen]{b12}\label{b12} 	 		\textit{Surgical management of labyrinthine fistulae in chronic otitis media with Cholesteatoma by a one-stage closed technique},  		 			B Ostri 		,  		 			K Bak-Pedersen 		.  		 	 
\bibitem[Quaranta et al. ()]{b3}\label{b3} 	 		‘Surgical treatment of labyrinthine fistula in cholesteatomy surgery’.  		 			N Quaranta 		,  		 			C Liuzzi 		,  		 			S Zizzi 		,  		 			A Dicorato 		,  		 			A Quaranta 		.  	 	 		\textit{Otolarnygol Head Neck Surg}  		2009. 140 p. .  	 
\bibitem[Gacek]{b8}\label{b8} 	 		\textit{The surgical management of labyrinthine fistulae in chronic otitis media with cholesteatoma},  		 			R R Gacek 		.  		 	 
\end{bibitemlist}
 			 		 	 
\end{document}