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Repair of a cerebrospinal fluid perilymph fistula primarily through the middle ear and secondarily by occluding the
D J Weider1, R L Saunders, F E Musiek
1Department of Surgery, Dartmouth-Hitchcock Medical Center, Hanover, NH 03756.
Abstract:
A 35-year-old man had a 5-year history of fluctuating hearing loss in his only hearing ear. History and diagnostic tests indicated a perilymph fistula, a diagnosis subsequently confirmed by exploration. Primary and secondary repairs temporarily ameliorated symptoms. A spinal fluid to middle ear fluid pathway was identified by radioactive tracer. A patent cochlear aqueduct indicated on computed tomography scan was found and repaired through a posterior cranial fossa approach. Hearing was preserved, remaining relatively stable during the 2-year follow-up period.