{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T14:05:42Z","timestamp":1769609142977,"version":"3.49.0"},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T00:00:00Z","timestamp":1461283200000},"content-version":"vor","delay-in-days":10979,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1986,4]]},"abstract":"<jats:p>In 1978, I reported on the diagnostic criteria and therapy based on the treatment of 34 cases of perilymph fistula. Of that group, 20 patients had no hearing loss associated with the fistula. Since that time, an additional 30 cases of fistula\u201415 without hearing loss\u2014have been seen and treated operatively. The 30 significant variables of history and physical findings identified in the first study were statistically reviewed, along with a new finding that seems highly significant. Twenty\u2010three of the 26\u00a0new cases so evaluated had a positive \u201ceyes\u2010closed turning test\u201d (staggering when turning to the side of the lesion after walking with eyes closed). A further finding has been the presence of an abnormally placed round window membrane, in most cases involving the round window. The total operative population of fistulas, both those with and without hearing loss, is reviewed to identify the operative technique best suited for each window and the graft material most likely to succeed. Perichondrium is the choice tissue for graft material, except for very small fistulas at the annular ligament. The graft must be held firmly in place, with either a prosthesis or appropriate packing, carefully avoiding adhesions between the round window and the tympanic membrane.<\/jats:p>","DOI":"10.1177\/019459988609400403","type":"journal-article","created":{"date-parts":[[2015,8,18]],"date-time":"2015-08-18T03:08:25Z","timestamp":1439867305000},"page":"426-429","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Diagnosis and Treatment of Perilymph Fistulas without Hearing Loss"],"prefix":"10.1002","volume":"94","author":[{"given":"George T.","family":"Singleton","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery Department of Surgery University of Florida College of Medicine Gainesville Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,4,22]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"44","article-title":"Vestibular and auditory findings of perilymph fistula: A review of 40 cases","volume":"82","author":"Healy GB","year":"1976","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947808700606"},{"key":"e_1_2_1_4_1","first-page":"1444","article-title":"Round windown membrane rupture: A cause of sudden deafness","volume":"76","author":"Pullen FW","year":"1972","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198012000-00017"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947908800201"},{"key":"e_1_2_1_7_1","first-page":"1","volume-title":"Otolaryngology","author":"Hart CW","year":"1972"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(80)80090-1"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988609400403","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988609400403","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:48:30Z","timestamp":1760957310000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988609400403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,4]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1986,4]]}},"alternative-id":["10.1177\/019459988609400403"],"URL":"https:\/\/doi.org\/10.1177\/019459988609400403","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1986,4]]},"assertion":[{"value":"1985-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1986-01-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-04-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}