Perilymphatic fistula caused by Eustachian tube air inflation

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Auris Nasus Larynx Pub Date : 2025-02-01 DOI:10.1016/j.anl.2024.12.010

Taichi Kan, Yasue Uchida, Mayuko Kishimoto, Tetsuya Ogawa, Yasushi Fujimoto

引用次数: 0

Abstract

We present a case of a perilymphatic fistula (PLF) caused by Eustachian tube air inflation (ETAI) that was diagnosed using cochlin-tomoprotein (CTP) testing and successfully treated using transcanal endoscopic ear surgery to seal the inner ear window. A 77-year-old woman developed hearing loss and dizziness after undergoing ETAI at a local ear, nose, and throat clinic. Despite initial bed rest and steroid pulse therapy, the hearing did not improve, and transcanal endoscopic ear surgery was performed to repair the PLF. The CTP test confirmed the diagnosis of PLF, leading to a significant improvement in the patient's hearing and dizziness symptoms postoperatively. This case highlights the importance of considering PLF as a potential complication of ETAI and the value of CTP testing for diagnosing this condition.

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咽鼓管充气引起淋巴管周围瘘管。

我们报告一例由咽鼓管充气（ETAI）引起的淋巴周围瘘管（PLF），通过耳蜗蛋白（CTP）检测诊断，并成功地通过经鼻内镜耳手术封闭内耳窗治疗。一名77岁妇女在当地一家耳鼻喉门诊接受ETAI后出现听力损失和头晕。尽管最初卧床休息和类固醇脉冲治疗，听力没有改善，并进行经鼻内窥镜耳手术修复PLF。CTP试验证实了PLF的诊断，导致患者术后听力和头晕症状明显改善。本病例强调了将PLF视为ETAI潜在并发症的重要性，以及CTP检测对诊断该病的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.