Dizzy & Hearing Loss This Ear Condition could be why скачать в хорошем качестве

Dizzy & Hearing Loss This Ear Condition could be why

Perilymphatic Fistula Treatment By Dr. Prof. Vishal Pathania – ENT Specialist, Gurgaon A perilymphatic fistula (PLF) is a small tear or defect between the inner ear (which contains fluid called perilymph) and the middle ear. This abnormal connection allows fluid to leak, leading to dizziness, imbalance, hearing loss, or ear fullness. It often occurs after trauma, heavy straining, barotrauma (sudden pressure changes), or ear surgery. Because PLF symptoms mimic other inner ear disorders like Ménière’s disease, proper diagnosis and treatment are critical. Symptoms of Perilymphatic Fistula Sudden or fluctuating hearing loss Vertigo or dizziness worsened by straining, coughing, or sneezing Tinnitus (ringing in the ear) A feeling of fullness or pressure in the ear Balance problems Diagnosis Diagnosing PLF can be challenging. ENT specialists use: Clinical history and symptom triggers (sneezing, lifting, barotrauma). Audiometry to detect hearing loss. Fistula test (eye movements triggered by pressure changes in the ear). Imaging (CT/MRI) to rule out other causes. Exploratory surgery in uncertain cases. Treatment Options 1. Conservative Management In mild or suspected cases, doctors may recommend: Strict bed rest to allow natural healing. Avoidance of straining (lifting weights, sneezing forcefully, nose blowing). Head elevation while resting. Stool softeners to prevent straining during bowel movements. Hearing and balance monitoring with regular follow-ups. Sometimes, small fistulas can heal on their own with rest. 2. Medical Management Symptomatic treatment with medicines for vertigo (betahistine, cinnarizine, vestibular suppressants). Hearing protection and avoidance of loud noise. Lifestyle adjustments to prevent worsening of symptoms. 3. Surgical Repair If symptoms persist or worsen despite conservative care, or if there is significant hearing loss, surgery is advised. Middle ear exploration is performed under general anesthesia. The site of the leak (round window or oval window) is identified. Tissue grafts (fat, fascia, or muscle) are used to seal the fistula. This prevents further leakage and protects inner ear structures. Recovery and Precautions After Surgery Avoid heavy lifting, straining, or air travel for several weeks. Follow prescribed medications for healing. Attend regular ENT check-ups to monitor hearing and balance recovery. Most patients notice improvement in dizziness after surgery. Hearing recovery depends on the severity and duration of the leak before treatment. Conclusion Perilymphatic fistula is a delicate but treatable ear condition. Early diagnosis and timely management—ranging from rest to surgical repair—can protect both hearing and balance. If you experience unexplained dizziness with hearing changes after trauma, pressure changes, or strain, consult an ENT specialist immediately.