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In our clinic in such rare cases we cover the oval window with vein or perichondrium and use a cartilage connection from the incus to the oval window or the posterior crus of the stapes.
Management of Perilymph Fistula in our Clinic
Sinus evaluation |
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| Mild stable S. N. Loss |
P.C.O.P. (Hough)
other ear |
| Severe S. N. Loss |
Close Fistula - Restore -discrimination. |
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Then P.C.O. P. other ear (you are not operating on the only valid ear because you have restored discrimination) |
| Small Fenestra Long Piston |
Causse technique to close the fistula |
| Large Fenestra |
Desai technique (Cartilage on Vein)
To close the fistula |
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