Perilymph Fistula Vigorous coughing or straining, sneezing, or nose blowing can result in rupture of the round window or subluxation of the footplate. Leakage of perilymph causes dizziness and hearing loss. Initial management is bed rest. If no improvement or if deterioration, surgical exploration is indicated. Progressive hearing loss and otalgia.
Physical exam reveals a bluish mass behind the tympanic membrane.
Symptoms include aural discharge, bleeding, pain, decreased hearing, and otic polyps. Absence of meatus or external canal ends in blind sac. Cosmetic reconstruction of auricle at 4-6 years of age. Preferential seating in classroom for unilateral involvement. Hearing aids for bilateral involvement as soon as possible.