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Perilymphatic fistula—the value of diagnostic tests

Published online by Cambridge University Press:  29 June 2007

Ludwig Podoshin*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Bnai Zion Medical Centre, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Milo Fradis
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Bnai Zion Medical Centre, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Jacob Ben-David
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Bnai Zion Medical Centre, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Steven I. Berger
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Bnai Zion Medical Centre, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Hava Feiglin
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Bnai Zion Medical Centre, and The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
*
Professor L. Podoshin, M. D.,Department of Otolaryngology, Bnai Zion Medical Centre, P.O.B. 4940, Haifa 31048, Israel.

Abstract

Perilymphatic fistula (PLF) remains one of the most challenging problems in otological practice. Fifty-two consecutive patients (53 ears) who underwent explorative tympanotomy for suspected PLF between 1985–1992 were included in this study. The clinical picture, history, patients' complaints and laboratory tests were analysed and compared with the operative findings. The conclusions of our work are that the diagnosis of PLF is based mostly on the clinical picture and a battery of laboratory diagnostic tests, but no one test is truly diagnostic for PLF.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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