[Traumatic perilymphatic fistula and sports].
In the past ten years four sportsmen with a traumatic perilymphatic fistula were treated. Three of these four patients were surgically treated: two of them underwent a labyrinthectomy and with one of them, the oval window was grafted. After the analysis of these cases, we have made a study of the literature. Careful attention to the patient history and accurate review of the recurrent vestibulocochlear symptomatology isolate a clinical "audiovestibular syndrome of perilymphatic fistule". There is lack of precise preoperatoire diagnostic test. Nevertheless, entire positionnal audiometric test is a reliable and easy to perform test. The medical management is based on bed rest during a reasonable period. Only patients with significant suggestive symptomatology are surgically explored . They sometimes need destruction of vestibular function without preservation of hearing.
Hôpital d'Instrution des Armées du Val-de-Grâce, Clinique ORL et de Chirurgie Cervico-Faciale, Paris, France.
E
E
Roguet
J L
JL
Poncet
P
P
Verdalle
A
A
Courtois
M
M
Kossowski
M
M
Raynal
D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D005402:Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D066298:In Vitro Techniques; D008297:Male; D008875:Middle Aged; D010498:Perilymph