Outcome of hearing and vertigo after surgery for congenital perilymphatic fistula in children.
OBJECTIVE
To determine if surgery to repair a perilymphatic fistula (PLF) has any significant morbidity and to determine the outcome of the surgery in regards to hearing and vertiginous symptoms.


METHODS
A retrospective study was performed with all patients undergoing PLF repair at a tertiary medical center. Each patient was assessed for comparison of their pre- and postoperative hearing levels, vertiginous complaints, and recurrences.


RESULTS
One hundred sixty ears were operated on for PLF over a 13-year period. Of the 103 ears positive for PLF, 92% either stabilized or improved their hearing and 3% noticed a decrease, but this was well after surgery and not believed to be related. These results were similar in the non-PLF ears in which 95% had stabilized or improved hearing and again 3% had a much delayed decrease. Of the children who had vertiginous complaints before surgery, 91% were improved or stable. Only 1 child felt somewhat worse, but, as in the hearing loss, this was greater than 6 months after the surgery.


CONCLUSIONS
Surgical repair of PLF does not result in a significant risk for postoperative hearing loss or additional vertiginous complaints. Surgical repair may prevent further deterioration of hearing loss even in those patients in whom a PLF was not identified at the time of surgery.
Weber
Peter C
PC
Departments of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Bluestone
Charles D
CD
Perez
Blas
B
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005402:Fistula / Q000151:congenital* / Q000601:surgery*; D006309:Hearing; D006801:Humans; D007759:Labyrinth Diseases / Q000151:congenital* / Q000601:surgery*; D008297:Male; D010498:Perilymph; D016896:Treatment Outcome; D014717:Vertigo / Q000503:physiopathology; D015837:Vestibular Diseases / Q000503:physiopathology