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1 results

  • Perilymph fistula: the patients' experience

  • J A Meldrum, P R Prinsley
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue 6 / June 2016
    Published online by Cambridge University Press:
    26 April 2016, pp. 526-531
    Print publication:
    June 2016
  • 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.