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Perilymph Fistula : Fifty Years of Controversy
Author
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-07-31
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Perilymph fistula (PLF) is defined as a leak of perilymph at the oval or round window.
It excludes other conditions with “fistula” tests due to a dehiscent semi circular canal from cholesteatoma and the superior canal dehiscence syndrome.
It was first recognized in the early days of stapedectomy as causing disequilibrium and balance problems before sealing of the stapedectomy with natural tissue became routine.
It then became apparent that head trauma and barotraumatic trauma from flying or diving could be a cause of PLF.
Descriptions of “spontaneous” PLF with no trauma history followed.
A large literature on PLF from all causes accumulated.
It became an almost emotional issue in Otolaryngology with “believers” and “nonbelievers.” The main criticisms are a lack of reliable symptoms and diagnostic tests and operative traps in reliably distinguishing a perilymph leak from local anaesthetic.
There are extensive reviews on the whole topic, invariably conveying the authors' own experiences and their confirmed views on various aspects.
However, a close examination reveals a disparity of definitions and assumptions on symptoms, particularly, vestibular.
This is an intentionally provocative paper with suggestions on where some progress might be made.
American Psychological Association (APA)
Hornibrook, Jeremy. 2012. Perilymph Fistula : Fifty Years of Controversy. ISRN Otolaryngology،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-459977
Modern Language Association (MLA)
Hornibrook, Jeremy. Perilymph Fistula : Fifty Years of Controversy. ISRN Otolaryngology No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-459977
American Medical Association (AMA)
Hornibrook, Jeremy. Perilymph Fistula : Fifty Years of Controversy. ISRN Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-459977
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-459977