alexa Perilymphatic Fistula Following a Closed Head Injury | OMICS International | Abstract
ISSN: 2167-1222

Journal of Trauma & Treatment
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Case Report

Perilymphatic Fistula Following a Closed Head Injury

Zolnourian A* and Paramanathan V
Department of ENT, Queen’s Hospital Burton, Belvedere Rd, Burton-on-Trent, Staffordshire, UK
*Corresponding Author : Ardalan Zolnourian
Department of ENT
Queen’s Hospital Burton, Belvedere Rd
Burton-on-Trent, Staffordshire, DE13 0RB, UK
E-mail: [email protected]
Received September 03, 2013; Accepted September 25, 2013; Published September 27, 2013
Citation: Zolnourian A, Paramanathan V (2013) Perilymphatic Fistula Following a Closed Head Injury. J Trauma Treat 2:177. doi:10.4172/2167-1222.1000177
Copyright: © 2013 Zolnourian A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


We present a case of sudden sensorineural hearing loss and paroxysmal positional vertigo following a closed head injury. A perilymphatic fistula (PLF) was suspected in the absence of any other definite diagnostic findings. The patient underwent exploratory tympanotomy. Fistula was grafted which noticeably improved his vestibular symptoms. PLF must be considered in post-traumatic sensorineural hearing loss with or without other vestibular symptoms. Surgical treatment with patching of oval and round windows remains an effective treatment, but its effect on hearing loss is less predictable.


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