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Perilymph fistula: the patients' experience

Published online by Cambridge University Press:  26 April 2016

J A Meldrum  and
P R Prinsley
J A Meldrum*
Affiliation:
Department of Otolaryngology, Ipswich Hospital NHS Trust, UK
P R Prinsley
Affiliation:
Department of Otolaryngology, James Paget University Hospital, Great Yarmouth, UK Department of Otolaryngology, Norfolk and Norwich University NHS Foundation Trust, Norwich, UK
*
Address for correspondence: Ms J A Meldrum, 36 Marewa Street, Kew, Dunedin 9012, New Zealand E-mail: [email protected]
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Abstract

Objective:

This study aimed to assess the experiences and outcomes of patients who underwent surgical repair of a perilymph fistula in Norfolk, UK.

Methods:

The study involved a retrospective questionnaire-based patient survey and case note review of patients who had undergone tympanotomy and perilymph fistula repair between 1998 and 2012 in two district general hospitals.

Results:

Fourteen patients underwent 20 procedures, of whom 7 completed the pre- and post-operative Vertigo Symptom Scale. In five patients, there was no obvious precipitating cause. Perilymph fistula was precipitated by noise in one patient, by a pressure-increasing event in six patients and by trauma in two patients. The Vertigo Symptom Scale scores showed a statistically significant improvement following surgical repair, from a median of 67 (out of 175) pre-operatively to 19 post-operatively.

Conclusion:

In selected patients with vertigo, perilymph fistula should be considered; surgical repair can significantly improve symptoms.

Keywords

Perilymphatic DuctFistulaVertigoOutcomes Assessment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 6 , June 2016 , pp. 526 - 531
Copyright
Copyright © JLO (1984) Limited 2016 

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