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Research in Vestibular Science > Volume 9(1); 2010 > Article
Research in Vestibular Science 2010;9(1): 32-37.
중이관 환기관 삽입술 후 발생한 다발성 외림프누공 치험 1예
정승원, 김미주, 한규철
가천의과학대학교 의학전문대학원 길병원 이비인후과
A Case of Multiple Perilymph Fistula Induced by Tympanostomy Tube Insertion
Seung Won Chung, Mi Joo Kim, Gyu Cheol Han
Department of Otorhinolaryngology-Head and Neck Surgery, Gachon University Gil Hospital, Graduate School of Medicine, Incheon, Korea. han@gilhospital.com
ABSTRACT
This controversial diagnosis centers around the phenomenon of perilymph leaking from the inner ear into the middle ear cleft through the oval window, round window or other fissures in the bony labyrinth that may be abnormally patent. A perilymph fistula may develop after stapedectomy surgery, penetrating middle ear trauma, head trauma, barotrauma, or possibly spontaneously. Uncertainty regarding the clinical criteria for the diagnosis and the inability to document the presence of a microfistula at surgery contribute to the problematic nature of this diagnosis. However, this condition should be seriously considered in the patient with vertigo after head trauma, barotrauma injury, or previous middle ear surgery. It is particularly likely in patients with penetrating middle ear trauma with vertigo. Most authors agree that perilymph fistulas generally heal spontaneously, therefore a few days of bed rest is appropriate in acute cases. Cases suspected after penetrating trauma should be explored early if symptoms persist. Here, authors report a case of multiple perilymph fistula possibly caused by tympanostomy tube insertion in a 48-year-old man with a review of the literature.
Keywords: Perilymph; Fistula; Multiple
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