{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T22:30:32Z","timestamp":1768084232411,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1988,1,1]],"date-time":"1988-01-01T00:00:00Z","timestamp":567993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1988,1]]},"abstract":"<jats:p>Establishing the diagnosis of perilymph fistula remains a dilemma. At this time, identification of an active perilymph fistula can be confirmed only by surgery. On the basis of clinical history and audiovestibular testing, 54 patients underwent middle ear exploration for possible perilymph fistula at the Colorado Ear Clinic between July 1980 and June 1986. This group represents approximately 1% of all surgical procedures performed during that period. Seven patients (12%) were found to have the Tullio phenomenon preoperatively. Six of these were found to have active, free\u2010flowing fistulas at the time of exploration. The presence of a Tullio phenomenon may be helpful in preoperative assessment of a patient with suspected perilymph fistula.<\/jats:p>","DOI":"10.1177\/019459988809800115","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:07:51Z","timestamp":1448435271000},"page":"88-89","source":"Crossref","is-referenced-by-count":42,"title":["The Tullio Phenomenon and Perilymph Fistula"],"prefix":"10.1002","volume":"98","author":[{"given":"Eileen J.","family":"Fox","sequence":"first","affiliation":[{"name":"Colorado Ear Clinic Colorado Otologic Research Center Department of Otolaryngology University of Colorado Health Sciences Center Denver Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas J.","family":"Balkany","sequence":"additional","affiliation":[{"name":"Colorado Ear Clinic Colorado Otologic Research Center Department of Otolaryngology University of Colorado Health Sciences Center Denver Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaufman","family":"Arenberg","sequence":"additional","affiliation":[{"name":"Colorado Ear Clinic Colorado Otologic Research Center Department of Otolaryngology University of Colorado Health Sciences Center Denver Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1988,1]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"57","article-title":"Perilymphatic fistulas\u2014a definitive and curable cause of vertigo following head trauma","volume":"141","author":"Lehrer JF","year":"1984","journal-title":"West J Med"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780040283007"},{"key":"e_1_2_1_4_1","first-page":"44","article-title":"Vestibular and auditory findings of perilymphatic 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_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459987908700627"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400403"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198601000-00007"},{"key":"e_1_2_1_8_1","first-page":"797","article-title":"Perilymph fistulas: Diagnostic criteria and therapy","volume":"87","author":"Singleton GT","year":"1978","journal-title":"Am J Otol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198002000-00005"},{"key":"e_1_2_1_10_1","author":"Tullio P","year":"1926","journal-title":"Sulla Funzione delle varie parti dell'oecchio interno."},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800520"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1981.tb30908.x"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100082396"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988809800115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988809800115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:55:38Z","timestamp":1760954138000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988809800115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1988,1]]}},"alternative-id":["10.1177\/019459988809800115"],"URL":"https:\/\/doi.org\/10.1177\/019459988809800115","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1988,1]]}}}