Otolaryngology Houston
Bechara Y. Ghorayeb, MD.
1140 Business Center Drive, Suite 560 Houston, TX 77043.
Phone: (713) 464 2614
www.ghorayeb.com
This page was last updated: June 6, 2011
Perilymph Fistula
PERILYMPH FISTULA FROM THE OVAL WINDOW VIDEO CLIP
Ten years ago, this middle aged woman had a tympanoplasty and ossicular chain reconstruction with a TORP. Since then, she has been suffering from chronic vertigo, imbalance, nausea and occasional vomiting. There was a significant conductive hearing loss. The middle ear was explored. A displaced TORP was removed and a perilymph fistula was discovered in the oval window. Apparently, the stapes had been completely removed; even the footplate was absent and the oval window was just covered with fibrous scar tissue.
The above movie clip shows perilymph leaking from under the fibrous membrane that covers the oval window. The fistula was then sealed with temporalis fascia and a new titanium TORP was placed over the fascia. Hearing improved postoperatively.
