Traumatic perilymphatic fistula with pneumolabyrinth: Diagnosis and management
β 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
No coin nor oath required. For personal study only.
β¦ 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
π SIMILAR VOLUMES
## Abstract ## Background This study evaluated a single-centre experience with endovascular repair of traumatic arteriovenous fistula in the cervicothoracic region. ## Methods Endovascular repair of 27 traumatic cervicothoracic arteriovenous fistulas was attempted between August 1998 and Decembe
## Abstract A 41βyearβold man presented after forceful penetrating ear injury. He had incapacitating vestibular symptoms. Computed tomography revealed pneumolabyrinth with a fractured stapes that was >90Β° rotated and subluxed into the vestibule, such that the crura and capitulum could be seen in th