Cited by 34Vestibular and auditory disordersEar Surgery and Otitis MediaNeurosurgical Procedures and Complications

The DOI matches its Crossref record.

Perilymphatic fistula: Surgical experience in the united states

House, John W., Morris, Michael S., Kramer, Steven J., Shasky, Gary L., Coggan, Barry B., Putter, Jeffrey S.·1991·Otolaryngology–Head and Neck Surgery

Abstract

One survey sent to 6953 individual otolaryngologic practices and 106 departments of otolaryngology at teaching hospitals in the United States, and a more limited survey of 75 patients operated on for perilymphatic fistula (PLF) at the House Ear Institute, addressed aspects of managing PLF: Surgical incidence, reliability of diagnostic tests, preoperative observations, and disability after surgery. Of surgeons sampled, 93% estimated incidence of PLF surgery to be ≤1 per 1000 otolaryngologic outpatient visits. The most reliable diagnostic indicators were history, symptomatology, and tympanometric and electronystagmographic fistula tests. About 72% of surgeons reported <4 weeks' average delay before surgery. Most surgeons and patients (≥70%) rated length of disability before return to work, exposure to noise, travel by airplane, swimming, and heavy lifting, at several weeks to several months. Diving was the most restricted activity. Results suggest that incidence of surgery and disability with PFL in the United States is very limited.

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Metadata

Authors
House, J. W., Morris, M. S., Kramer, S. J., Shasky, G. L., Coggan, B. B., & Putter, J. S.
Affiliations
  • Otologic Medical Group, PC, Los Angeles Los Angeles California
  • Georgetown University (US)
  • Department of Communicative Disorders Washington, D.C.
  • San Diego State University (US)
Corresponding author
Putter, Jeffrey S.
Venue
Otolaryngology–Head and Neck Surgery
Publisher
Wiley
Published
1991-07
Volume
105
Issue
1
Pages
51-59
ISSN
  • 0161-6439 (ISSN-L)
  • 0194-5998
  • 1097-6817
OpenAlex
W185474619
Cited by
34
References
0
Citations by year
2026: 1 · 2025: 1 · 2019: 1 · 2018: 2 · 2015: 2 · 2012: 2
FWCI
1.33
Type
journal article
Language
en
Open access
closed
Locations
  • Otolaryngology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Medicine › Otorhinolaryngology › Ear Surgery and Otitis Media
  • Health Sciences › Medicine › Clinical Neurology › Neurosurgical Procedures and Complications
Keywords
perilymphatic fistula, surgical incidence, diagnostic reliability, tympanometry, electronystagmography, preoperative delay, postoperative disability, return to work
MeSH terms
Acoustic Impedance Tests, Data Collection, Electronystagmography, Fistula, Humans, Labyrinth Diseases, Methods, Perilymph, Postoperative Care

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