Diagnostic criteria of barotraumatic perilymph fistula based on clinical manifestations.

Abstract:

CONCLUSIONS:Patients with sudden hearing loss and dizziness after barotrauma should be suspected of barotraumatic perilymph fistula (PLF). Early surgical repair of PLF showed better hearing outcomes. Therefore, diagnostic criteria should help surgical indications of barotraumatic PLF. OBJECTIVES:The aim of this study was to establish diagnostic criteria for barotraumatic PLF. METHODS:Twenty-four patients (26 ears) underwent surgery on suspicion of barotraumatic PLF. The causes of barotrauma and clinical symptoms were analyzed by surgical findings. Diagnostic criteria of PLF were proposed according to its clinical manifestations. RESULTS:Definite PLF (17 subjects) was confirmed by any evidence of perilymph leak through oval and round windows. For the other seven subjects (probable PLF), even though there was no evidence of perilymph leak, their clinical manifestations were similar to definite PLF. High frequency hearing loss occurred as an early symptom after barotrauma. Positional dizziness occurred a few hours after auditory symptoms (67%). Positional nystagmus was observed in 10 cases. The characteristics of positional nystagmus were multi-directional, longer in duration, smaller in amplitude, no reversibility, and no response to repositioning maneuver. Regarding the surgical outcomes, hearing was significantly improved in the early repaired PFL group, and dizziness was improved in 96% of patients.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Choi JE,Moon IJ,Kim H,Lee K,Cho YS,Chung WH

doi

10.1080/00016489.2016.1213419

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

16-22

issue

1

eissn

0001-6489

issn

1651-2251

journal_volume

137

pub_type

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