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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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References

Barber, H. O., Stockwell, C. W. (1976). Manual of Electronystagmography. C. V. Mosby Co., St Louis, MO, USA, pp 124140.Google Scholar
Ben-David, J., Podoshin, L., Fradis, M. (1985) A comparative craniocorpography study on the findings in the Romberg standing test versus the Unterberger Fukuda stepping test in vertigo patients. Acta Oto-Rhino-Larhyngology (Belgium) 39: 925932.Google Scholar
Ben-David, J., Fradis, M., Goldstein, J., Podoshin, L. (1991) Bilateral perilymph fistula in an adult. Journal of Laryngology and Otology 105: 304305.CrossRefGoogle ScholarPubMed
Black, F. O., Lilly, D. J., Nashner, L. M., Peterka, R. J., Pesznecker, S. C. (1987) Quantitative diagnostic test for perilymph fistulas. Otolaryngology-Head and Neck Surgery 96: 125–124.Google Scholar
Claussen, C. F. (1970) Die Cranio-Corpo-Graphie (CCG) eine einfache photo-optische registrier methode fur vestibulospinale reaktionen. Zeitung fur Laryngologie, Rhinologie und Otologie 49: 634639.Google Scholar
Daspit, C. P., Churchill, D., Linthicum, F. H. (1980) Diagnosis of perilymph fistula using ENG and impedance. Laryngoscope 90: 217223.Google Scholar
Escat, E. (1897) Ecoulement spontane de liquide cephalorachidien par le conduit auditif externe: fistule congenitale probable. Archives Laryngologie 10: 653659.Google Scholar
Frazer, J. G., Flood, L. M. (1982) An audiometric test for perilymph fistula. Journal of Laryngology and Otology 96: 513520.Google Scholar
Fee, G. A. (1968) Traumatic perilymph fistula. Archives of Otolaryngology 88: 477480.CrossRefGoogle Scholar
Fox, E. Y., Balkany, T. J., Arenberg, I. K. (1988) The Tulio phenomenon and perilymph fistula. Otolaryngology-Head and Neck Surgery 98: 8889.Google Scholar
Gibson, W. P. R. (1992) Electrocochleography in the diagnosis of perilymphatic fistula: intraoperative observations and assessment at a new diagnostic official procedure. American Journal of Otology 13(2): 146151.Google Scholar
Goodhill, V. (1971) Sudden deafness and round window rupture. Laryngoscope 81: 14621474.CrossRefGoogle ScholarPubMed
Hazell, J. W. P., Fraser, J. G., Robinson, P. J. (1992) Positional audiometry in the diagnosis of perilymphatic fistula. American Journal of Otology 13(3): 263269.Google ScholarPubMed
House, W. J., Morris, M. S., Kramer, J. S., Shesky, G. L., Coggan, B. B., Putter, J. S. (1991) Perilymphatic fistula: surgical experience in the United States. Otolaryngology-Head and Neck Surgery 105: 5159.CrossRefGoogle ScholarPubMed
Hughes, G. B., Sismonis, A., House, J. W. (1990) Is there consensus in perilymph fistula management? Otolaryngology-Head and Neck Surgery 102: 111117.Google Scholar
Kline, O. R. (1933) Spontaneous cerebrospinal otorrhea. Archives of Otolaryngology 18: 3439.CrossRefGoogle Scholar
Kohut, R. J. (1992) Perilymph fistulas. Archives of Otolaryngology-Head and Neck Surgery 118: 687694.CrossRefGoogle ScholarPubMed
Lewis, M. L. Jr. (1961) Inner ear complications of stapes surgery. Laryngoscope 71: 377384.CrossRefGoogle ScholarPubMed
Mattox, D. E. (1986) Perilymph fistulas. In Otolaryngology-Head and Neck Surgery. (Cumings, W. C., Fredrickson, J. M., Harker, L. A., Krause, C. J., Schuller, D. E., eds.), C. V. Mosby Co., St Louis, MO, USA, pp 31133118.Google Scholar
Naiberg, J. B., Flemming, E., Patterson, M., Hawke, M. (1990) The perilymphatic fistula: the end of an enigma? Journal of Otolaryngology 19: 260263.Google Scholar
Paparella, M. M., Schadurn, P. A., Choo, J. B. (1983) The round window membrane. Annals of Otolgoy, Rhinology and Laryngology 92: 629634.CrossRefGoogle ScholarPubMed
Pullen, F. W. (1979) Sudden hearing loss in divers. Laryngoscope 89: 13731377.CrossRefGoogle ScholarPubMed
Schweitzer, V. G., Woodson, B. T., Manhinney, T. D. (1990) Free amino acid analysis of guinea pig perilymph: a possible clinical assay for the PLF enigma? Otolaryngology-Head and Neck Surgery 103: 981985.CrossRefGoogle ScholarPubMed
Sheehy, J. L., House, H. P. (1962) Causes of failure in stapes surgery. Laryngoscope 72: 1031.CrossRefGoogle ScholarPubMed
Singleton, G. T. (1986) Diagnosis and treatment of perilymph fistulas without hearing loss. Otolaryngology-Head and Neck Surgery 94: 426429.Google Scholar
Stroud, M. H., Calcaterra, T. C. (1970) Spontaneous perilymph fistulas. Laryngoscope 80: 479487.CrossRefGoogle ScholarPubMed