Repair of a cerebrospinal fluid perilymph fistula primarily through the middle ear and secondarily by occluding the cochlear aqueduct

D. J. Weider, R. L. Saunders, F. E. Musiek

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

A 35-year-old man had a 5-year history of fluctuating hearing loss in his only hearing ear. History and diagnostic tests indicated a perilymph fistula, a diagnosis subsequently confirmed by exploration. Primary and secondary repairs temporarily ameliorated symptoms. A spinal fluid to middle ear fluid pathway was identified by radioactive tracer. A patent cochlear aqueduct indicated on computed tomography scan was found and repaired through a posterior cranial fossa approach. Hearing was preserved, remaining relatively stable during the 2-year follow-up period.

Original languageEnglish (US)
Pages (from-to)35-39
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume105
Issue number1
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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