{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:06:19Z","timestamp":1787843179290,"version":"build-2784847793"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:p>There continues to be considerable confusion concerning the diagnosis and treatment of perilymphatic fistulas (PLFs) and Meniere's disease. This paper reports an 8-year experience with patients whose symptoms were compatible with Meniere's disease but who had some other element that raised the possibility of their having a PLF. This review is a retrospective report on 64 patients who had fluctuating hearing loss, vertigo, tinnitus, and aural fullness typical of Meniere's disease. However, they also had a positive fistula test and\/or symptoms beginning immediately after head trauma. They all underwent at least a unilateral PLF repair, and some also underwent an endolymphatic sac\u2013mastoid shunt operation. This report provides a literature review to help put this series' results into perspective. Of those 40 patients who underwent an initial PLF repair, 58% had a successful outcome. Of the 10 patients who underwent an initial PLF repair plus an endolymphatic sac\u2013mastoid shunt, 70% had a successful outcome. Since it is often difficult to distinguish patients with PLFs and secondary endolymphatic hydrops (Meniere's syndrome) from patients with Meniere's disease (idiopathic endolymphatic hydrops), PLF repair is a reasonable first operation, reserving an endolymphatic sac\u2013mastoid shunt operation as a secondary procedure if needed. The decision to consider a PLF repair is guided by a positive fistula test or an immediate onset of Meniere's disease symptom complex after head or ear trauma.<\/jats:p>","DOI":"10.1177\/000348940111000507","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"430-436","source":"Crossref","is-referenced-by-count":23,"title":["Perilymphatic Fistula and Meniere's Disease"],"prefix":"10.1177","volume":"110","author":[{"given":"Dennis C.","family":"Fitzgerald","sequence":"first","affiliation":[{"name":"Washington, DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2001,5,1]]},"reference":[{"key":"bibr1-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196708000-00015"},{"key":"bibr2-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1968.00770010479005"},{"key":"bibr3-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197402000-00005"},{"key":"bibr4-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(80)80090-1"},{"key":"bibr5-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)32088-0"},{"key":"bibr6-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198306000-00022"},{"key":"bibr7-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(88)80034-6"},{"key":"bibr8-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809900501"},{"key":"bibr9-000348940111000507","first-page":"213","volume":"21","author":"Campbell KCM","year":"1992","journal-title":"J Otolaryngol"},{"key":"bibr10-000348940111000507","first-page":"32","volume":"13","author":"Nomura Y","year":"1992","journal-title":"Am J Otol"},{"key":"bibr11-000348940111000507","first-page":"146","volume":"13","author":"Gibson WPR","year":"1992","journal-title":"Am J Otol"},{"key":"bibr12-000348940111000507","doi-asserted-by":"publisher","DOI":"10.3109\/00206097709071852"},{"key":"bibr13-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790400001001"},{"key":"bibr14-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1985.00800040035001"},{"key":"bibr15-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710601005"},{"key":"bibr16-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/019459987908700627"},{"key":"bibr17-000348940111000507","first-page":"49","volume":"13","author":"Shepard NT","year":"1992","journal-title":"Am J Otol"},{"key":"bibr18-000348940111000507","first-page":"603","volume":"17","author":"Fitzgerald DC","year":"1996","journal-title":"Am J Otol"},{"key":"bibr19-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/000348948409300602"},{"key":"bibr20-000348940111000507","first-page":"93","volume":"8","author":"Lehrer JF","year":"1987","journal-title":"Am J Otol"},{"key":"bibr21-000348940111000507","author":"Atkinson M","year":"1961","journal-title":"Acta Otolaryngol Suppl (Stockh)"},{"key":"bibr22-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1977.00780260054005"},{"key":"bibr23-000348940111000507","first-page":"68","volume":"28","author":"Simmons FB","year":"1982","journal-title":"Adv Otorhinolaryngol"},{"key":"bibr24-000348940111000507","first-page":"373","volume-title":"Vertigo","author":"Gibson WPR","year":"1984"},{"key":"bibr25-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198601000-00007"},{"key":"bibr26-000348940111000507","doi-asserted-by":"publisher","DOI":"10.3109\/00016488309129573"},{"key":"bibr27-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197901000-00006"},{"key":"bibr28-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/000348948909800701"},{"key":"bibr29-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199004000-00011"},{"key":"bibr30-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000204"},{"key":"bibr31-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/000348948109000208"},{"key":"bibr32-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(82)80016-1"},{"key":"bibr33-000348940111000507","first-page":"184","volume":"9","author":"Weider DJ","year":"1988","journal-title":"Am J Otol"},{"key":"bibr34-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010200609"},{"key":"bibr35-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400213"},{"key":"bibr36-000348940111000507","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1995.01890040036006"}],"container-title":["Annals of Otology, Rhinology &amp; 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