Lehrer J F, Quraishi A U, Poole D C
Am J Otol. 1987 Mar;8(2):93-5.
The evidence for the existence of secondary endolymphatic hydrops in patients with perilymphatic fistulas is reviewed and the indications for treatment of such hydrops in patients with fistulas are discussed. The indications for and results of combined fistula repair by middle ear exploration and endolymphatic sac surgery in fifteen patients are presented. The preliminary results in these patients appear encouraging. Patients with recurrent perilymphatic fistulas, or with symptoms of attacks of spinning vertigo after fistula repair, and those who present with severe imbalance with findings of a perilymphatic fistula appear to be candidates for combined fistula and sac surgery.
回顾了外淋巴瘘患者继发性内淋巴积水存在的证据，并讨论了此类瘘管患者积水的治疗指征。介绍了15例患者经中耳探查和内淋巴囊手术联合瘘管修复的指征及结果。这些患者的初步结果似乎令人鼓舞。复发性外淋巴瘘患者，或瘘管修复后出现旋转性眩晕发作症状的患者，以及出现严重平衡失调且有外淋巴瘘表现的患者似乎是联合瘘管和囊手术的候选者。
