Perilymph Fistula

Managing Symptoms

•  Rest: In cases of PLF resulting from a traumatic event, rest and avoidance of physical activities for one to two weeks can help heal the tear in the middle ear membranes and stop the perilymph leakage.
• Precautions: Patients should avoid activities that increase inner ear pressure, such as coughing, bending over, straining, and lifting heavy objects.

Surgical Intervention
If symptoms persist despite conservative measures, surgery may be required:

•  Surgery: Performed under local anesthesia through the ear canal. The eardrum is raised, and tiny soft tissue grafts are placed around the oval and round windows to repair the fistula.
•  Post-Surgery Care: Patients are advised to have bed rest and restricted activities for three days post-surgery, with overnight hospitalization often recommended. After three days, normal activities can be resumed, but strenuous activities should be avoided for a month. Patients should avoid intense sports, weight lifting, diving, flying, and roller coaster rides to prevent recurrence of symptoms.
•  Laxatives: Given post-surgery to avoid straining during bowel movements.

Note: Following these precautions is crucial to prevent the recurrence of PLF symptoms, even after successful surgery.