Surgical Management of Perilymph Fistulas: A New Technique

F. Owen Black, Susan Pesznecker, Theadore Norton, Lavina Fowler, David J. Lilly, Charlotte Shupert, W. Garth Hemenway, Robert J. Peterka, Eric S. Jacobson

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

A wide range of recurrence rates (21% to 47%) for perilymph fistula repairs have been reported in the otology literature. An improved surgical technique developed at the Portland (Ore) Good Samaritan Hospital and Medical Center Neurotology Department was used to repair perilymph fistulas in 58 patients from October 1986 to October 1988. Our recurrence rate was reduced from 27% in a 1982-1985 study to 8% in our study. At 1 year postoperatively, improvements in disequilibrium, dizziness, and vertigo were comparable with results of older surgical techniques. Functional outcomes were also good: 83% of patients returned to normal activities of daily living, and 71% also returned to school or resumed gainful employment outside the home. (Arch Otolaryngol Head Neck Surg. 1991;117:641-648)

Original languageEnglish (US)
Pages (from-to)641-648
Number of pages8
JournalArchives of Otolaryngology--Head and Neck Surgery
Volume117
Issue number6
DOIs
StatePublished - Jun 1991

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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    Black, F. O., Pesznecker, S., Norton, T., Fowler, L., Lilly, D. J., Shupert, C., Hemenway, W. G., Peterka, R. J., & Jacobson, E. S. (1991). Surgical Management of Perilymph Fistulas: A New Technique. Archives of Otolaryngology--Head and Neck Surgery, 117(6), 641-648. https://doi.org/10.1001/archotol.1991.01870180077015