A patient-oriented approach to perilymph fistula

W. L. Meyerhoff, K. J. Pollock

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The subject of perilymph fistula is controversial in part because the preoperative diagnosis of perilymph fistula is difficult. Patients suffering auditory and vestibular symptoms secondary to perilymph fistula, therefore, present a dilemma to the practicing physician. In some instances, patients with auditory and vestibular symptoms in the absence of perilymph fistula will be subjected to middle ear exploration without benefit, while in other instances patients with auditory and vestibular symptoms secondary to perilymph fistula will be denied surgical treatment. Auditory and vestibular symptoms are a quality of life issue. Therefore, in an effort to provide care of the highest quality the patient must be actively involved in the decision process. Such involvement can be meaninful only after the patient is carefully counseled as to the pros and cons of surgery, as well as the alternatives. A prognostic paradigm bases on the personal experience of one of us (W.L.M.) with perilymph fistula patients is described and is used in patient consultation in an effort to facilitate decision making.

Original languageEnglish (US)
Pages (from-to)1317-1319
Number of pages3
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume116
Issue number11
StatePublished - 1990

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Perilymph
Fistula
Quality of Health Care
Middle Ear
Decision Making
Referral and Consultation
Quality of Life
Physicians

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Meyerhoff, W. L., & Pollock, K. J. (1990). A patient-oriented approach to perilymph fistula. Archives of Otolaryngology - Head and Neck Surgery, 116(11), 1317-1319.

A patient-oriented approach to perilymph fistula. / Meyerhoff, W. L.; Pollock, K. J.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 116, No. 11, 1990, p. 1317-1319.

Research output: Contribution to journalArticle

Meyerhoff, WL & Pollock, KJ 1990, 'A patient-oriented approach to perilymph fistula', Archives of Otolaryngology - Head and Neck Surgery, vol. 116, no. 11, pp. 1317-1319.
Meyerhoff, W. L. ; Pollock, K. J. / A patient-oriented approach to perilymph fistula. In: Archives of Otolaryngology - Head and Neck Surgery. 1990 ; Vol. 116, No. 11. pp. 1317-1319.
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