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- W2000801904 abstract "Perilymph fistula (PLF) is defined as a leak of perilymph at the oval or round window. It excludes other conditions with fistula tests due to a dehiscent semi circular canal from cholesteatoma and the superior canal dehiscence syndrome. It was first recognized in the early days of stapedectomy as causing disequilibrium and balance problems before sealing of the stapedectomy with natural tissue became routine. It then became apparent that head trauma and barotraumatic trauma from flying or diving could be a cause of PLF. Descriptions of spontaneous PLF with no trauma history followed. A large literature on PLF from all causes accumulated. It became an almost emotional issue in Otolaryngology with believers and nonbelievers. The main criticisms are a lack of reliable symptoms and diagnostic tests and operative traps in reliably distinguishing a perilymph leak from local anaesthetic. There are extensive reviews on the whole topic, invariably conveying the authors' own experiences and their confirmed views on various aspects. However, a close examination reveals a disparity of definitions and assumptions on symptoms, particularly, vestibular. This is an intentionally provocative paper with suggestions on where some progress might be made." @default.
- W2000801904 created "2016-06-24" @default.
- W2000801904 creator A5089908895 @default.
- W2000801904 date "2012-07-31" @default.
- W2000801904 modified "2023-10-16" @default.
- W2000801904 title "Perilymph Fistula: Fifty Years of Controversy" @default.
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- W2000801904 doi "https://doi.org/10.5402/2012/281248" @default.
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