Perilymphatic fistula following airbag trauma

Ferber-Viart, C.; Postec, Florence; Duclaux, R.; Dubreuil, C.

doi:10.1097/00005537-199808000-00033

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…Three novel causes have been lightening strike [41], airbag trauma [42], and acoustic trauma from a fire engine siren [43]. …”

Section: Traumamentioning

confidence: 99%

Perilymph Fistula: Fifty Years of Controversy

Hornibrook

2012

ISRN Otolaryngology

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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.

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“…Three novel causes have been lightening strike [41], airbag trauma [42], and acoustic trauma from a fire engine siren [43]. …”

Section: Traumamentioning

confidence: 99%

Perilymph Fistula: Fifty Years of Controversy

Hornibrook

2012

ISRN Otolaryngology

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“…Perilymphatic fistulas sometimes occur as a result of head trauma and can be responsible for postconcussive symptoms including hearing loss, tinnitus, and dizziness. 3 Ferber‐Viart et al 4 reported one case of perilymphatic fistula that occurred as a result of airbag deployment during a motor vehicle accident.…”

Section: Introductionmentioning

confidence: 99%

Chronic Tinnitus Resulting From Head or Neck Injuries

Folmer

Griest

2003

The Laryngoscope

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“…Three novel causes have been lightening strike [31], airbag trauma [32], and acoustic trauma from a fire engine siren [33]. …”

Section: Discussionmentioning

confidence: 99%

A Balance Test for Chronic Perilymph Fistula

Hornibrook

2012

International Journal of Otolaryngology

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Perilymph fistula is defined as a leak of perilymph at the oval or round window. It excludes other conditions with “fistula” tests due to a dehiscent semicircular canal from cholesteotoma and the superior canal dehiscence syndrome. First recognized as a complication of stapedectomy, it then became apparent that head trauma and barotraumatic trauma from flying or diving could be a cause. Descriptions of “spontanenous” perilymph fistulas with no trauma history followed. It is likely that most perilymph fistula patients have a congential potential weakness of the otic capsule at the round or oval window. The vestibular symptoms have been assumed to be due to endolymphatic hydrops, but there is poor evidence. Their unilateral disequilibrium, nausea, and subtle cognitive problems suggest they are due to otolith disfunction and that these patients have a specific balance abnormality, unlike subjects with unilateral vestibular hypofuction. In this series of twenty patients with a confirmed fistula a logical simplification of Singleton's “eyes-closed turning” test predicted a PLF in twelve with a trauma history. In four no cause was found. In three a prior traumatic event was later recalled, but one patient had concealed it.

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Perilymphatic fistula following airbag trauma

Cited by 9 publications

References 6 publications

Perilymph Fistula: Fifty Years of Controversy

Perilymph Fistula: Fifty Years of Controversy

Chronic Tinnitus Resulting From Head or Neck Injuries

A Balance Test for Chronic Perilymph Fistula

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