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Perilymph fistula: the patients' experience
1Department of Otolaryngology,Ipswich Hospital NHS Trust,UK.
The Journal of Laryngology and Otology
|April 27, 2016
Summary
Surgical repair of perilymph fistulas significantly improved vertigo symptoms in patients. This study highlights the effectiveness of surgical intervention for this inner ear condition.
Area of Science:
- Otolaryngology
- Neurosurgery
- Vestibular Disorders
Background:
- Perilymph fistula (PLF) is a rare condition causing vertigo and hearing loss.
- Surgical repair is an option for managing PLF symptoms.
Purpose of the Study:
- To evaluate the outcomes of surgical repair for perilymph fistula.
- To assess patient experiences following PLF surgery in Norfolk, UK.
Main Methods:
- Retrospective review of 14 patients undergoing 20 PLF repairs (1998-2012).
- Utilized patient surveys and case note review.
- Pre- and post-operative Vertigo Symptom Scale (VSS) scores were analyzed.
Main Results:
- A statistically significant improvement in VSS scores was observed post-surgery (median 67 to 19).
- Precipitating factors included pressure events (6), trauma (2), and noise (1); 5 cases had no clear cause.
- Seven patients completed pre- and post-operative VSS assessments.
Conclusions:
- Perilymph fistula should be considered in selected vertigo patients.
- Surgical repair offers significant symptom improvement for PLF.
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