Perilymph Fistula Quiz

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Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

From our team of 50+ doctors

Content updated on Mar 31, 2024

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How Ubie Can Help You

With an easy 3-min questionnaire , Ubie's AI-powered system will generate a free report on possible causes.

Questions are customized to your situation and symptoms, including the following personal information:

  • Biological Sex - helps us provide relevant suggestions for male vs. female conditions.

  • Age - adjusts our guidance based on any age-related health factors.

  • History - considers past illnesses, surgeries, family history, and lifestyle choices.

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✔︎  When to see a doctor

✔︎  What causes your symptoms

✔︎  Treatment information etc.

People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Dizziness multiple times

  • Hearing loss worse on the right

  • Spinning feeling

  • Dizzy when standing up

  • Hearing issues

  • Dizzy in the morning

  • Dizziness when looking up

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What is Perilymph Fistula?

The air-filled middle ear and fluid-filled inner ear are separated by a thin membrane. When this membrane tears between these two parts of the ear, fluid from the inner ear leaks into the middle ear. The tear can be caused by sudden pressure changes, such as diving, head injury, or blowing the nose too hard. Common symptoms include hearing loss, ear ringing (tinnitus) and dizziness (vertigo).

Typical Symptoms of Perilymph Fistula

  • Dizziness

  • Hearing difficulty

  • Dizziness started after straining and hearing a "pop" sound

  • Sensation of imbalance as if floating when at sea

  • Ringing in the ears

  • Ear pain

  • Dizziness after blowing the nose

  • Frequent exposure to loud noise

Doctor's Diagnostic Questionson Perilymph Fistula

Your doctor may ask these questions to check for this disease:

  • Are you currently dizzy?

  • Do you have trouble hearing?

  • Did you strain yourself and hear a popping sound before the dizziness started?

  • Do you feel like you are floating or off-balance, like at sea?

  • Do you have ringing in your ears?

Treatmentof Perilymph Fistula

Mild cases can resolve with bed rest, head elevation and avoidance of activities that would increase inner ear pressure like straining or sudden altitude changes. In cases that do not get better with those measures, steroids may be given along with a minor procedure or surgery to fix the hole.

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References

  • Furhad S, Bokhari AA. Perilymphatic Fistula. [Updated 2023 Jul 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK563221/

    https://www.ncbi.nlm.nih.gov/books/NBK563221/

  • Calhoun KH, Strunk CL. Perilymph fistula. Arch Otolaryngol Head Neck Surg. 1992 Jul;118(7):693-4. doi: 10.1001/archotol.1992.01880070023004. PMID: 1627287.

    https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/620779

User Testimonials

Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Rohini R, MD

Rohini R, MD (Otolaryngology (ENT))

Dr. Rohini R is an ENT, Head and Neck Surgeon, with a Fellowship in Advanced Endoscopic Sinus and Skull Base Surgery and a Fellowship in Aesthetic Medicine and Lasers. Besides clinical practice and working with Ubie, she is actively training and mentoring medical students and residents. She has functioned in various work settings - teaching hospitals, private and free health centers, and worked with patients from all socioeconomic backgrounds due to her experience in free hospitals and volunteering in India and Singapore.

From our team of 50+ doctors

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Think you might have
Perilymph Fistula

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