Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series
Traumatic perilymphatic fistula (PLF) is an uncommon cause of acute vestibular symptoms and hearing loss following head injury in children. We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PL...
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| Veröffentlicht in: | Journal of International Advanced Otology 2021-03, Vol.17 (2), p.182-185 |
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| creator | Rawal, Rounak Zhao, Xue Lipson, Sophie R Brodsky, Jacob |
| description | Traumatic perilymphatic fistula (PLF) is an uncommon cause of acute vestibular symptoms and hearing loss following head injury in children. We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PLF underwent repair via an EES approach between August and October 2018. Patients included a 14-year-old female (oval window), a 13-year-old male (round window), and a 10-month-old male (oval and round window). Ossicular chain injury was identified and repaired in 2 patients. The 10-month-old patient required a second-stage surgery that included lumbar drain placement and a post-auricular, endoscopic-assisted approach due to an especially brisk leak. All patients had complete resolution of vestibular symptoms post-operatively with no recurrence at a mean follow-up of 8.3 months. Traumatic PLF can be safely and effectively diagnosed and managed via an EES approach in children, though an endoscopic-assisted approach may be necessary in select cases due to factors such as patient age and leak severity. |
| doi_str_mv | 10.5152/JIAO.2021.8390 |
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We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PLF underwent repair via an EES approach between August and October 2018. Patients included a 14-year-old female (oval window), a 13-year-old male (round window), and a 10-month-old male (oval and round window). Ossicular chain injury was identified and repaired in 2 patients. The 10-month-old patient required a second-stage surgery that included lumbar drain placement and a post-auricular, endoscopic-assisted approach due to an especially brisk leak. All patients had complete resolution of vestibular symptoms post-operatively with no recurrence at a mean follow-up of 8.3 months. Traumatic PLF can be safely and effectively diagnosed and managed via an EES approach in children, though an endoscopic-assisted approach may be necessary in select cases due to factors such as patient age and leak severity.</description><identifier>ISSN: 2148-3817</identifier><identifier>ISSN: 1308-7649</identifier><identifier>EISSN: 2148-3817</identifier><identifier>DOI: 10.5152/JIAO.2021.8390</identifier><identifier>PMID: 33893790</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Case Report ; Children ; Emergency medical care ; Endoscopy ; Fistula ; Fractures ; Head injuries ; Health aspects ; Hearing loss ; Injuries ; Patients ; Pediatrics ; Surgeons ; Surgery ; Surveillance ; Vertigo</subject><ispartof>Journal of International Advanced Otology, 2021-03, Vol.17 (2), p.182-185</ispartof><rights>COPYRIGHT 2021 AVES</rights><rights>Copyright Mediterranean Society for Otology and Audiology Mar 2021</rights><rights>2021 authors 2021 authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c646t-1d2fbe055dc309bf5d638dce2160609fc8ee255237ca895f40f351f32020729b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450155/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450155/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33893790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rawal, Rounak</creatorcontrib><creatorcontrib>Zhao, Xue</creatorcontrib><creatorcontrib>Lipson, Sophie</creatorcontrib><creatorcontrib>R Brodsky, Jacob</creatorcontrib><creatorcontrib>Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, USA</creatorcontrib><creatorcontrib>Department of Otolaryngology, Harvard Medical School, Boston, MA, USA</creatorcontrib><creatorcontrib>Yale New Haven Hospital, New Haven, CT, USA</creatorcontrib><creatorcontrib>Tufts School of Medicine, Boston, MA, USA</creatorcontrib><title>Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series</title><title>Journal of International Advanced Otology</title><addtitle>J Int Adv Otol</addtitle><description>Traumatic perilymphatic fistula (PLF) is an uncommon cause of acute vestibular symptoms and hearing loss following head injury in children. We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PLF underwent repair via an EES approach between August and October 2018. Patients included a 14-year-old female (oval window), a 13-year-old male (round window), and a 10-month-old male (oval and round window). Ossicular chain injury was identified and repaired in 2 patients. The 10-month-old patient required a second-stage surgery that included lumbar drain placement and a post-auricular, endoscopic-assisted approach due to an especially brisk leak. All patients had complete resolution of vestibular symptoms post-operatively with no recurrence at a mean follow-up of 8.3 months. Traumatic PLF can be safely and effectively diagnosed and managed via an EES approach in children, though an endoscopic-assisted approach may be necessary in select cases due to factors such as patient age and leak severity.</description><subject>Case Report</subject><subject>Children</subject><subject>Emergency medical care</subject><subject>Endoscopy</subject><subject>Fistula</subject><subject>Fractures</subject><subject>Head injuries</subject><subject>Health aspects</subject><subject>Hearing loss</subject><subject>Injuries</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surveillance</subject><subject>Vertigo</subject><issn>2148-3817</issn><issn>1308-7649</issn><issn>2148-3817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>KPI</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1v1DAQhiMEolXplSOK4AKHXfwROzYHpNWqhYWKrWg5W44z3rpK4tROEP33OO1SdlEPyAfb42dez9hvlr3EaM4wI--_rBbrOUEEzwWV6El2SHAhZlTg8unO-iA7jtFVqOC8QEyQ59kBpULSUqLDbH3S1T4a3zuTf4deu5B7m18GPbZ6SLFzCK65bfuru92pi8PY6Nx1-fLKNXWA7kO-yJc6Qn6RSIgvsmdWNxGOt_NR9uP05HL5eXa2_rRaLs5mhhd8mOGa2AoQY7WhSFaW1ZyK2gDBHHEkrREAhDFCS6OFZLZAljJsaWoWlURW9Chb3evWXl-rPrhWh1vltVN3AR82SodUcgOqkhRMwaFighUlEpJgrKUBhJHkxEDS-niv1Y9VC6mKbgi62RPdP-ncldr4n0oWDGHGksDbrUDwNyPEQbUuGmga3YEfoyIMC5JaoyShb_5Br_0YuvRUiUqMEKQUf6mNTg24zvp0r5lE1YJzTMtSiOna149Qpnc3aheaPwKlUUPrjO_AuhTfU323l5CYAX4NGz3GqL6er_6bXV1822e3hZjgYwxgHx4YIzXZWU12VpOd1WTnlPBq91se8D_mpb8BNQDpqw</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Rawal, Rounak</creator><creator>Zhao, Xue</creator><creator>Lipson, Sophie</creator><creator>R Brodsky, Jacob</creator><general>AVES</general><general>Mediterranean Society for Otology and Audiology</general><general>European Academy of Otology and Neurotology and the Politzer Society</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>KPI</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EDSIH</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20210301</creationdate><title>Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series</title><author>Rawal, Rounak ; Zhao, Xue ; Lipson, Sophie ; R Brodsky, Jacob</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c646t-1d2fbe055dc309bf5d638dce2160609fc8ee255237ca895f40f351f32020729b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Case Report</topic><topic>Children</topic><topic>Emergency medical care</topic><topic>Endoscopy</topic><topic>Fistula</topic><topic>Fractures</topic><topic>Head injuries</topic><topic>Health aspects</topic><topic>Hearing loss</topic><topic>Injuries</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surveillance</topic><topic>Vertigo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rawal, Rounak</creatorcontrib><creatorcontrib>Zhao, Xue</creatorcontrib><creatorcontrib>Lipson, Sophie</creatorcontrib><creatorcontrib>R Brodsky, Jacob</creatorcontrib><creatorcontrib>Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, USA</creatorcontrib><creatorcontrib>Department of Otolaryngology, Harvard Medical School, Boston, MA, USA</creatorcontrib><creatorcontrib>Yale New Haven Hospital, New Haven, CT, USA</creatorcontrib><creatorcontrib>Tufts School of Medicine, Boston, MA, USA</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Global Issues</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Turkey Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of International Advanced Otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rawal, Rounak</au><au>Zhao, Xue</au><au>Lipson, Sophie</au><au>R Brodsky, Jacob</au><aucorp>Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, USA</aucorp><aucorp>Department of Otolaryngology, Harvard Medical School, Boston, MA, USA</aucorp><aucorp>Yale New Haven Hospital, New Haven, CT, USA</aucorp><aucorp>Tufts School of Medicine, Boston, MA, USA</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series</atitle><jtitle>Journal of International Advanced Otology</jtitle><addtitle>J Int Adv Otol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>17</volume><issue>2</issue><spage>182</spage><epage>185</epage><pages>182-185</pages><issn>2148-3817</issn><issn>1308-7649</issn><eissn>2148-3817</eissn><abstract>Traumatic perilymphatic fistula (PLF) is an uncommon cause of acute vestibular symptoms and hearing loss following head injury in children. We describe the management of 3 pediatric patients with traumatic PLF using an endoscopic ear surgery (EES) approach. Three pediatric patients with traumatic PLF underwent repair via an EES approach between August and October 2018. Patients included a 14-year-old female (oval window), a 13-year-old male (round window), and a 10-month-old male (oval and round window). Ossicular chain injury was identified and repaired in 2 patients. The 10-month-old patient required a second-stage surgery that included lumbar drain placement and a post-auricular, endoscopic-assisted approach due to an especially brisk leak. All patients had complete resolution of vestibular symptoms post-operatively with no recurrence at a mean follow-up of 8.3 months. Traumatic PLF can be safely and effectively diagnosed and managed via an EES approach in children, though an endoscopic-assisted approach may be necessary in select cases due to factors such as patient age and leak severity.</abstract><cop>Turkey</cop><pub>AVES</pub><pmid>33893790</pmid><doi>10.5152/JIAO.2021.8390</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Case Report Children Emergency medical care Endoscopy Fistula Fractures Head injuries Health aspects Hearing loss Injuries Patients Pediatrics Surgeons Surgery Surveillance Vertigo |
| title | Endoscopic Repair of Traumatic Perilymphatic Fistula in Children: A Case Series |
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