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Traumatic perilymphatic fistula with pneumolabyrinth: Diagnosis and management

✍ Scribed by Eitan Prisman; James D. Ramsden; Susan Blaser; Blake Papsin


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
367 KB
Volume
121
Category
Article
ISSN
0023-852X

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✦ Synopsis


Abstract

A perilymphatic fistula (PLF) is an abnormal communication between the inner and middle ear resulting in vestibular or cochlear symptoms. We review three pediatric traumatic temporal bone fractures with pneumolabyrinth, confirmed radiologically by the presence of air within the cochlea (pneumocochlea) or vestibule (pneumovestibule). Patients were treated conservatively with complete resolution of vestibulopathy. Hearing outcome was variable and worse in two patients with pneumocochlea. A pneumolabyrinth on radiologic imaging confirms a PLF and obviates the need for exploration to reach a diagnosis. We suggest exploration be reserved for patients with persisting cerebrospinal fluid leakage, progressive sensorineural hearing loss, or vestibular symptomatology. Laryngoscope, 2011


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