Document Detail

Is there consensus in perilymph fistula management?
MedLine Citation:
PMID:  2113234     Owner:  NLM     Status:  MEDLINE    
A perilymph fistula is an abnormal communication between the inner ear fluids and the middle ear space. This article identifies areas of agreement in perilymph fistula management based upon 167 questionnaire responses from active surgeons of the American Otological Society and the American Neurotological Society. The average respondent performed 4.6 fistula explorations among 197 otologic surgeries (some of these were myringotomies) per year. The following statements represent areas of general agreement. The single most important feature of the history is previous trauma or barotrauma. At present no test can replace clinical judgment; however, despite sound judgment and sophisticated testing, it is very difficult to document the presence or absence of a fistula preoperatively. Most often the diagnosis is based on the total clinical picture: history, physical examination, and laboratory testing.
G B Hughes; A Sismanis; J W House
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  102     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-07-26     Completed Date:  1990-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  111-7     Citation Subset:  IM    
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, OH 44195.
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MeSH Terms
Ear Diseases / diagnosis,  surgery*,  therapy
Fistula / diagnosis,  surgery*,  therapy
Labyrinth Diseases / diagnosis,  surgery*,  therapy

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