Wurtele P
J Otolaryngol. 1981 Aug;10(4):309-12.
Traumatic perilymphatic round window fistula may manifest itself with minimal cochleovestibular symptoms. Its association with tympanic membrane perforation secondary to ear washing has previously never been published. The rapid complete recuperation of cochleovestibular function after a conservative obliteration of the round window niche with fat and a myringoplasty, leads us to suggest early surgical intervention when there is evidence or high suspicion of perilymphatic fistula with a traumatic membrane perforation.
创伤性外淋巴瘘可能仅表现出轻微的耳蜗前庭症状。此前从未有过关于其与洗耳继发鼓膜穿孔相关性的报道。在用脂肪保守填塞圆窗龛并进行鼓膜成形术后，耳蜗前庭功能迅速完全恢复，这使我们建议，当有证据表明或高度怀疑存在伴有创伤性鼓膜穿孔的外淋巴瘘时，应尽早进行手术干预。
