Persistent traumatic perilymph fistulas

Thirty-four ears have been explored to rule out perilymph fistulas resulting from ear trauma. Eight ears (24%) were identified with a fistula, often persisting months (average 7.5 months) after the precipitating injury. Repair of fistulas, even if done relatively late, markedly reduces vestibular symptoms and may improve low and middle frequency sensorineural hearing. Complications from negative explorations are rare.