title: Occupational perilymph fistula.
abstract: A case of occupational perilymph fistula in an ironworker is described. The patient was lifting and lowering 200 pounds of steel when he developed sudden onset of vertigo. Surgical exploration of the middle ear demonstrated leakage of perilymph fluid from the round window. Grafting of the window led to improvement of symptoms, but the patient was unable to continue work as an ironworker due to difficulty with balance.
authors.affiliation: University of Illinois, Occupational Medicine Program, Chicago 60680.
authors.forename: L S
authors.initials: LS
authors.lastname: Forst
authors.forename: M
authors.initials: M
authors.lastname: Atterbury
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005402:Fistula / Q000175:diagnosis* / Q000209:etiology; D006311:Hearing Disorders / Q000209:etiology; D006801:Humans; D007759:Labyrinth Diseases / Q000175:diagnosis* / Q000209:etiology; D017770:Lifting / Q000009:adverse effects*; D008297:Male; D008669:Metallurgy; D009784:Occupational Diseases / Q000175:diagnosis* / Q000209:etiology; D010498:Perilymph; D014717:Vertigo / Q000209:etiology*