Perilymph Fistula in Emergency Medicine Treatment & Management

Updated: Nov 30, 2021
  • Author: Nancy E Conroy, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Emergency Department Care

The primary purpose of emergency evaluation is to seek other, more emergent causes of symptoms. However, consider the diagnosis with hearing loss and vertigo following head trauma. Vertigo suppressants, such as diazepam and meclizine, may be used, although their benefit remains unproven in this setting. Medical therapy is rarely reported. Some reports exist of spontaneous healing with bedrest, head elevation to 30°, and avoidance of lifting or middle-ear pressure–increasing activities.



Consult with an otolaryngologist.