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Published on: February 29, 2020
[Traumatic perilymphatic fistula. Report of a pediatric case]
Elena Arias1, Daniela Cohen1, Florencia Bianchi2
1División de Otorrinolaringología, Hospital General de Niños Pedro De Elizalde. Buenos Aires, Argentina.
Insights
Traumatic perilymphatic fistula, often from ear canal injuries, can cause hearing loss and vertigo. This case highlights a child
Area of Science:
- Otolaryngology
- Pediatric Traumatology
- Neurosurgery
Background:
- Traumatic perilymphatic fistula is a rare condition.
- Common causes include insertion of foreign objects into the ear canal.
- Key symptoms are hearing loss and vertigo.
Abstract:
Traumatic perilymphatic fistula is an unusual pathology. Generally caused by pencils, swabs, hair buckles, and matches. Among the most frequent symptoms, patients can present hearing loss and vertigo. Diagnosis requires a complete physical examination that includes otomicroscopy, audiometry and computed tomography of both boulders. Treatment depends on the patient's symptoms. In general, it is conservative at first, but may require surgery. We present a clinical case of a 6-year-old boy with perilymphatic fistula secondary to left ear trauma due to swab, which required surgical treatment.
