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A New Technique

F. Owen Black, MD; Susan Pesznecker, RN; Theadore Norton, PAC; Lavina Fowler, MA; David J. Lilly, PhD; Charlotte Shupert, PhD; W. Garth Hemenway, MD; Robert J. Peterka, PhD; Eric S. Jacobson, MD

Arch Otolaryngol Head Neck Surg. 1991;117(6):641-648.

Abstract
• A wide range of recurrence rates (21% to 47%) for perilymph fistula repairs have been reported in the otology literature. An improved surgical technique developed at the Portland (Ore) Good Samaritan Hospital and Medical Center Neurotology Department was used to repair perilymph fistulas in 58 patients from October 1986 to October 1988. Our recurrence rate was reduced from 27% in a 1982-1985 study to 8% in our study. At 1 year postoperatively, improvements in disequilibrium, dizziness, and vertigo were comparable with results of older surgical techniques. Functional outcomes were also good: 83% of patients returned to normal activities of daily living, and 71% also returned to school or resumed gainful employment outside the home.

(Arch Otolaryngol Head Neck Surg. 1991;117:641-648)

Author Affiliations
From the Department of Neurotology, Good Samaritan Hospital and the Robert S. Dow Neurological Sciences Institute, Portland, Ore.

Footnotes
Accepted for publication December 3, 1990.

Reprint requests to the Department of Neurotology, Good Samaritan Hospital and Medical Center, 1040 N W 22nd Ave (N010), Portland, OR 97210 (Dr Black).

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