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Article
November 1968

Traumatic Perilymphatic Fistulas

Author Affiliations

Toronto
From the Department of Otolaryngology, University of Toronto, Toronto.

Arch Otolaryngol. 1968;88(5):477-480. doi:10.1001/archotol.1968.00770010479005
Abstract

THERE have been several papers in the last few years, particulary in mountainous areas, on the occurrence of oval window fistulas after stapes procedures,1-3 but it does not appear to have been recognized that fistulas can and do occur in normal ears after head injury.

Report of Cases  Case 1.—A 35-year-old man was first seen on April 13, 1967. He had hit his head on a steel bar of a train window. He did not lose consciousness. He had some headache following this and noticed hearing loss in the left ear.On examination, both ear drums were normal. An audiometric test showed a 35 db loss in the speech tones on the left ear. There was also a corresponding drop in bone conduction. Speech discrimination was 100% in the left ear when the right ear was masked. He did not experience any dizziness at that time. He started to

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