Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty
Eustachian tube dilation (ETD) is an established, minimally invasive therapeutic approach for chronic eustachian tube dysfunction. The complications associated with performing a ETD are rare. A 22-year-old female patient presented with chronic otitis media on the right side and chronic obstructive t...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2022/5978757 |
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| author | R. Kim L. U. Scholtz R. Jadeed C. J. Pfeiffer H. Sudhoff I. Todt |
| author_facet | R. Kim L. U. Scholtz R. Jadeed C. J. Pfeiffer H. Sudhoff I. Todt |
| author_sort | R. Kim |
| collection | DOAJ |
| description | Eustachian tube dilation (ETD) is an established, minimally invasive therapeutic approach for chronic eustachian tube dysfunction. The complications associated with performing a ETD are rare. A 22-year-old female patient presented with chronic otitis media on the right side and chronic obstructive tube dilation disorder on both sides. A type I tympanoplasty was performed on the right side because of a tympanic membrane perforation after a ETD on both sides without apparent complications. On the 5th postoperative day, she presented with headache, dizziness and hearing loss on the right side. There was a decrease of hearing threshold on the right side in the pure-tone audiogram and vHIT, cVEMP, and SVV were irregular. The β-2-transferrin test was positive. Since a right-sided perilymph fistula was suspected, an emergency tympanotomy was performed with a round window membrane cover with fascia on the right side. Intraoperatively, a regular, intact ossicular chain was found with a slightly moist middle ear mucosa. The round window membrane was covered by the promontorial lip. Under these measures, the patient’s dizziness regressed. The right ear pure-tone threshold vHIT, cVEMP, and SVV normalized. |
| format | Article |
| id | doaj-art-5c81c981612d48c79c8ccf40a8bfccc8 |
| institution | Kabale University |
| issn | 2090-6773 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-5c81c981612d48c79c8ccf40a8bfccc82025-02-03T01:22:27ZengWileyCase Reports in Otolaryngology2090-67732022-01-01202210.1155/2022/5978757Perilymph Fistula as a Complication of Eustachian Tube Dilation and TympanoplastyR. Kim0L. U. Scholtz1R. Jadeed2C. J. Pfeiffer3H. Sudhoff4I. Todt5Faculty of Medicine OWLFaculty of Medicine OWLFaculty of Medicine OWLFaculty of Medicine OWLFaculty of Medicine OWLFaculty of Medicine OWLEustachian tube dilation (ETD) is an established, minimally invasive therapeutic approach for chronic eustachian tube dysfunction. The complications associated with performing a ETD are rare. A 22-year-old female patient presented with chronic otitis media on the right side and chronic obstructive tube dilation disorder on both sides. A type I tympanoplasty was performed on the right side because of a tympanic membrane perforation after a ETD on both sides without apparent complications. On the 5th postoperative day, she presented with headache, dizziness and hearing loss on the right side. There was a decrease of hearing threshold on the right side in the pure-tone audiogram and vHIT, cVEMP, and SVV were irregular. The β-2-transferrin test was positive. Since a right-sided perilymph fistula was suspected, an emergency tympanotomy was performed with a round window membrane cover with fascia on the right side. Intraoperatively, a regular, intact ossicular chain was found with a slightly moist middle ear mucosa. The round window membrane was covered by the promontorial lip. Under these measures, the patient’s dizziness regressed. The right ear pure-tone threshold vHIT, cVEMP, and SVV normalized.http://dx.doi.org/10.1155/2022/5978757 |
| spellingShingle | R. Kim L. U. Scholtz R. Jadeed C. J. Pfeiffer H. Sudhoff I. Todt Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty Case Reports in Otolaryngology |
| title | Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty |
| title_full | Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty |
| title_fullStr | Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty |
| title_full_unstemmed | Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty |
| title_short | Perilymph Fistula as a Complication of Eustachian Tube Dilation and Tympanoplasty |
| title_sort | perilymph fistula as a complication of eustachian tube dilation and tympanoplasty |
| url | http://dx.doi.org/10.1155/2022/5978757 |
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