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Perilymphatic fistula: surgical experience in the United States.
House, J W; Morris, M S; Kramer, S J; Shasky, G L; Coggan, B B; Putter, J S.
Afiliación
  • House JW; Otologic Medical Group, PC, Los Angeles, Calif.
Otolaryngol Head Neck Surg ; 105(1): 51-61, 1991 Jul.
Article en En | MEDLINE | ID: mdl-1909008
One survey sent to 6953 individual otolaryngologic practices and 106 departments of otolaryngology at teaching hospitals in the United States, and a more limited survey of 75 patients operated on for perilymphatic fistula (PLF) at the House Ear Institute, addressed aspects of managing PLF: surgical incidence, reliability of diagnostic test, preoperative observations, and disability after surgery. Of surgeons sampled, 93% estimated incidence of PLF surgery to be less than or equal to 1 per 1000 otolaryngologic outpatient visits. The most reliable diagnostic indicators were history, symptomatology, and tympanometric and electronystagmographic fistula tests. About 72% of surgeons reported less than 4 weeks' average delay before surgery. Most surgeons and patients (greater than or equal to 70%) rated length of disability before return to work, exposure to noise, travel by airplane, swimming, and heavy lifting, at several weeks to several months. Diving was the most restricted activity. Results suggest that incidence of surgery and disability with PFL in the United States is very limited.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Perilinfa / Fístula / Enfermedades del Laberinto Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Otolaryngol Head Neck Surg Año: 1991 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Perilinfa / Fístula / Enfermedades del Laberinto Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Otolaryngol Head Neck Surg Año: 1991 Tipo del documento: Article Pais de publicación: Reino Unido