Perilymph Fistula

Rapid changes in air pressure (barotrauma), otologic surgery, violent nose blowing or sneezing, head trauma, or chronic ear disease may cause leakage of perilymph fluid from the inner ear into the middle ear and result in episodes of vertigo. Associated signs and symptoms are variable but can include a sudden pop in the ear followed by hearing loss, vertigo, and sometimes tinnitus. Diagnosis can be determined by a fistula test, in which negative and positive pressures are applied to the tympanic membrane using pneumatic otoscopy, causing nystagmus and vertigo.

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