The DOI matches its Crossref record.
Is there Consensus in Perilymph Fistula Management?
Abstract
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.
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Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“Treatment of traumatic PLF remains controversial.”
From Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas (2012) · cites this paper as [3]
In the citing paper
“Because there are no definite diagnostic criteria for the PLF, not a few of patients suspected of having a PLF have been treated by conservative methods rather than surgical exploration; surgery is generally performed in patients with recurrent vertigo or progression of symptoms (1, 3, 4).”
From Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas (2012) · cites this paper as [3]
In the citing paper
“In addition, even for patients strongly suspected of having a PLF, surgery could be delayed too long that accurate surgical outcomes could not be established (3).”
From Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas (2012) · cites this paper as [3]
In the citing paper
“Sudden or progressive sensorineural hearing loss accompanied by dizziness following barotrauma should prompt consideration of PLF.”
From Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas (2012) · cites this paper as [3]
In the citing paper
“Because there are no definite diagnostic criteria for the PLF, not a few of patients suspected of having a PLF have been treated by conservative methods rather than surgical exploration; surgery is generally performed in patients with recurrent vertigo or progression of symptoms (1, 3, 4).”
From Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas (2012) · cites this paper as [3]
Citations
Cites
No references could be resolved yet.
Research works printed but not linked: 36
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- 10.1001/archotol.1968.00770010043009 · DOI
- 10.1288/00005537-197109000-00010 · DOI
- Escat E, 1897, écoulement spontane de liquide céphalorachidien par le conduit auditif externe: Fistule congénitale probable, Arch Int Laryngol, 10, 653
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- Myer CM, 1982, Total ossicular replacement prosthesis: Unusual cause of a perilymph fistula, Am J Otol, 4, 123
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- Healy GB, 1976, Vestibular and auditory findings of perilymph fistula: A review of 40 cases, Otolaryngol Head Neck Surg, 82, 44
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- Weider DJ, 1988, Perilymphatic fistula: A New Hampshire experience, Am J Otol, 9, 184
- Luntz M, 1986, Large perilymph fistulas, Am J Otol, 7, 282
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Cited by
Sorted by citations
Effects of Early Surgical Exploration in Suspected Barotraumatic Perilymph Fistulas
Park, G. Y., Byun, H., Moon, I. J., Hong, S. H., Cho, Y.-S., & Chung, W.-H. (2012) · Clinical and Experimental Otorhinolaryngology · doi:10.3342/ceo.2012.5.2.74 · Cited by 33
Metadata
- Authors
- Hughes, G. B., Sismanis, A., & House, J. W.
- Affiliations
- Cleveland Clinic (US)
- Virginia Commonwealth University Medical Center (US)
- Otologic Medical Group, P.C. Los Angeles California
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 1990-02
- Volume
- 102
- Issue
- 2
- Pages
- 111-117
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W1533821363
- Cited by
- 51
- References
- 0
- Citations by year
- 2026: 1 · 2023: 1 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 1 · 2012: 3
- FWCI
- 2.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Health Sciences › Medicine › Oncology › Ear and Head Tumors
- Keywords
- perilymphatic fistula, consensus, ear surgery, barotrauma, trauma (physical injury), preoperative diagnosis, clinical judgment, myringotomy
- MeSH terms
- Ear Diseases, Fistula, Humans, Labyrinth Diseases, Perilymph, Surveys and Questionnaires
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- CoChat. (2026). Citation check: Is there Consensus in Perilymph Fistula Management? https://app.cochat.ai/papers/10.1177/019459989010200203
- The paper
- Hughes, G. B., Sismanis, A., & House, J. W. (1990). Is there Consensus in Perilymph Fistula Management? Otolaryngology–Head and Neck Surgery. https://doi.org/10.1177/019459989010200203
