AI Article Synopsis
- The study evaluated the experiences and outcomes of patients in Norfolk, UK, who underwent surgical repair for perilymph fistula from 1998 to 2012.
- Fourteen patients had a total of 20 surgeries, with improvements in vertigo symptoms recorded in those who completed the post-operative survey.
- Results indicated a significant decrease in Vertigo Symptom Scale scores from a median of 67 pre-surgery to 19 post-surgery, supporting surgical intervention for selected vertigo patients.
Article Abstract
Objective: This study aimed to assess the experiences and outcomes of patients who underwent surgical repair of a perilymph fistula in Norfolk, UK.
Methods: The study involved a retrospective questionnaire-based patient survey and case note review of patients who had undergone tympanotomy and perilymph fistula repair between 1998 and 2012 in two district general hospitals.
Results: Fourteen patients underwent 20 procedures, of whom 7 completed the pre- and post-operative Vertigo Symptom Scale. In five patients, there was no obvious precipitating cause. Perilymph fistula was precipitated by noise in one patient, by a pressure-increasing event in six patients and by trauma in two patients. The Vertigo Symptom Scale scores showed a statistically significant improvement following surgical repair, from a median of 67 (out of 175) pre-operatively to 19 post-operatively.
Conclusion: In selected patients with vertigo, perilymph fistula should be considered; surgical repair can significantly improve symptoms.
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| http://dx.doi.org/10.1017/S002221511600030X | DOI Listing |
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