{"id":7441,"date":"2024-10-11T19:26:10","date_gmt":"2024-10-11T17:26:10","guid":{"rendered":"https:\/\/ivrt.de\/?p=7441"},"modified":"2025-08-25T17:22:21","modified_gmt":"2025-08-25T15:22:21","slug":"perilymphfistel","status":"publish","type":"post","link":"https:\/\/ivrt.de\/en\/schwindelerkrankungen\/perilymphfistel\/","title":{"rendered":"Perilymph fistula"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"7441\" class=\"elementor elementor-7441\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3a669e56 e-flex e-con-boxed e-con e-parent\" data-id=\"3a669e56\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6585c73a e-con-full e-flex e-con e-child\" data-id=\"6585c73a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-106e3da5 elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"106e3da5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Vestibular disorders<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c9db6cd elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"4c9db6cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perilymph fistula<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdeaed0 elementor-widget elementor-widget-text-editor\" data-id=\"bdeaed0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>This information is intended as a general introduction to the topic.<\/i> <i>Since every person is affected differently by balance and dizziness problems, you should consult your doctor for individual advice.<\/i><\/p><p><i>For reasons of readability, the generic masculine form is used and the simultaneous use of the male, female, and diverse (m\/f\/d) forms is omitted. Unless otherwise specified, the personal designations used in this patient information refer to all genders.<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aadb673 elementor-invisible elementor-widget elementor-widget-image\" data-id=\"4aadb673\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-1024x682.jpg\" class=\"attachment-large size-large wp-image-7443\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-1024x682.jpg 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-300x200.jpg 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-768x512.jpg 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-1536x1023.jpg 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel-2048x1364.jpg 2048w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/Perilymphfistel.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55f9932b elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"55f9932b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What is a perilymph fistula?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-185a100 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"185a100\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A fistula is an abnormal connection between two parts of the body. The perilymph is the fluid that fills the bony labyrinth in the inner ear.<\/p><p>A perilymph fistula is therefore an opening or tear in one or both membranes that separate the middle and inner ear. Perilymph can leak from the inner ear into the middle ear through this opening. It can occur in the oval or round window, in one of the semicircular canals (similar to semicircular canal dehiscence) or at another location.<\/p><p>A perilymphatic fistula can cause sudden or progressive hearing loss and dizziness.<\/p><p>Perilymphatic fistula is a controversial disease. Doctors and researchers disagree on how to define it, when it should be diagnosed and how it should be treated. There is no specific test to diagnose it, and the definition of perilymphatic fistula has changed over the years. In addition, the symptoms are similar to those of other inner ear disorders. But the diagnosis is becoming more widely recognized.<\/p><p>Perilymphatic fistula is rare. One group of researchers estimates that about 1.5 in 100,000 adults have perilymphatic fistula. It appears to be more common in children with sensorineural hearing loss that has no obvious cause (idiopathic).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61c9686c e-con-full e-flex e-con e-child\" data-id=\"61c9686c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-278c4f9a e-flex e-con-boxed elementor-invisible e-con e-child\" data-id=\"278c4f9a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c83fc7f elementor-widget elementor-widget-heading\" data-id=\"4c83fc7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Summary<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-541c049 elementor-icon-list-ico-position-0 elementor-widget__width-inherit elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"541c049\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-search-3\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">An abnormal opening or tear in one or both of the membranes separating the middle and inner ear.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-compass\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">May cause sudden or progressive hearing loss and dizziness (vertigo).<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-flash\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Rare and controversial disease, as not everyone agrees on the definition, diagnosis or treatment.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-clipboard\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">It can be caused by an illness, a pressure injury or barotrauma, or for no apparent reason.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon icon-medicine\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Treatment may involve avoiding triggers, treating other conditions or surgery.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2a1cb7b4 elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"2a1cb7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/10\/IVRT-Patienteninformation-Perilymphfistel.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Download as PDF - German<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8599f44 elementor-widget__width-inherit elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"8599f44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/ivrt.de\/wp-content\/uploads\/2025\/06\/IVRT\u00ae-patienteninformatie-Perilymfatische-fistel.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Download as PDF - Dutch<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-43ef592a e-flex e-con-boxed e-con e-parent\" data-id=\"43ef592a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-55cc4507 e-con-full e-flex e-con e-child\" data-id=\"55cc4507\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9f9fb1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"6a9f9fb1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What causes a perilymph fistula?\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-582b34b4 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"582b34b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Many different things can cause a perilymph fistula. Recently, the following four groups of causes have been identified:<\/p><ul><li>Illness (e.g. meningitis), trauma (e.g. minor traumatic brain injury) or surgery<\/li><li>Pressure injury (barotrauma) caused by external forces (e.g. flying or diving)<\/li><li>Pressure injury (barotrauma) caused by internal forces (such as straining, sneezing or coughing)<\/li><li>No obvious cause (idiopathic)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ea9d450 elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"4ea9d450\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-69e5eba271525\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-4ea9d450\">\n                        <a href=\"#collapse-a6e330569e5eba271525\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569e5eba271525\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569e5eba271525\">\n                            \n                            <span class=\"ekit-accordion-title\">Symptoms of a perilymph fistula<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e330569e5eba271525\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-4ea9d450\" data-parent=\"#accordion-69e5eba271525\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>A perilymph fistula can cause both vestibular and auditory disorders.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-4ea9d450\">\n                        <a href=\"#collapse-d14d6b569e5eba271525\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-d14d6b569e5eba271525\" aria-expanded=\"false\" aria-controls=\"Collapse-d14d6b569e5eba271525\">\n                            \n                            <span class=\"ekit-accordion-title\">Vestibular symptoms of a perilymph fistula can be:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-d14d6b569e5eba271525\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-4ea9d450\" data-parent=\"#accordion-69e5eba271525\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>Vertigo<\/li><li>Balance disorders<\/li><li>Nausea or vomiting<\/li><\/ul>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-2-4ea9d450\">\n                        <a href=\"#collapse-417cba969e5eba271525\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-417cba969e5eba271525\" aria-expanded=\"false\" aria-controls=\"Collapse-417cba969e5eba271525\">\n                            \n                            <span class=\"ekit-accordion-title\">Auditory symptoms of a perilymph fistula can be:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-417cba969e5eba271525\" class=\"collapse\" aria-labelledby=\"primaryHeading-2-4ea9d450\" data-parent=\"#accordion-69e5eba271525\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>Sudden or progressive sensorineural hearing loss that sometimes gets better or worse (fluctuating)<\/li><li>Tinnitus<\/li><li>Sensitivity to everyday noises (hyperacusis)<\/li><li>Ffeeling of fullness or flowing water in the ear<\/li><\/ul>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-3-4ea9d450\">\n                        <a href=\"#collapse-3dfff9769e5eba271525\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-3dfff9769e5eba271525\" aria-expanded=\"false\" aria-controls=\"Collapse-3dfff9769e5eba271525\">\n                            \n                            <span class=\"ekit-accordion-title\">Other possible problems<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-3dfff9769e5eba271525\" class=\"collapse\" aria-labelledby=\"primaryHeading-3-4ea9d450\" data-parent=\"#accordion-69e5eba271525\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Some people with perilymphatic fistula have problems perceiving complex environments such as crowds or traffic. They also have concentration and memory problems.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-4-4ea9d450\">\n                        <a href=\"#collapse-49c8b0d69e5eba271525\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-49c8b0d69e5eba271525\" aria-expanded=\"false\" aria-controls=\"Collapse-49c8b0d69e5eba271525\">\n                            \n                            <span class=\"ekit-accordion-title\">Possible triggers:<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-49c8b0d69e5eba271525\" class=\"collapse\" aria-labelledby=\"primaryHeading-4-4ea9d450\" data-parent=\"#accordion-69e5eba271525\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Some people with perilymphatic fistula find that their symptoms are triggered by loud noises. Symptoms may also be exacerbated by activities that cause pressure changes inside or outside the body, such as<\/p><ul><li>Cough<\/li><li>Sneeze<\/li><li>Blowing your nose<\/li><li>Tighten<\/li><li>Sport<\/li><li>Flying<\/li><\/ul>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73351f3 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"73351f3\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diagnosis of a perilymph fistula\n<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe0cd6b elementor-invisible elementor-widget elementor-widget-elementskit-accordion\" data-id=\"fe0cd6b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"elementskit-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >\n        <div class=\"elementskit-accordion accoedion-primary\" id=\"accordion-69e5eba272eb0\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-fe0cd6b\">\n                        <a href=\"#collapse-75926e169e5eba272eb0\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-75926e169e5eba272eb0\" aria-expanded=\"false\" aria-controls=\"Collapse-75926e169e5eba272eb0\">\n                            \n                            <span class=\"ekit-accordion-title\">Who diagnoses the disease?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-75926e169e5eba272eb0\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-fe0cd6b\" data-parent=\"#accordion-69e5eba272eb0\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>A perilymph fistula can be diagnosed by a neuro-otologist or ENT specialist who specializes in vertigo.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-1-fe0cd6b\">\n                        <a href=\"#collapse-a6e330569e5eba272eb0\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569e5eba272eb0\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569e5eba272eb0\">\n                            \n                            <span class=\"ekit-accordion-title\">How is a perilymph fistula diagnosed?<\/span>\n\n                            \n                                <div class=\"ekit_accordion_icon_group\">\n                                    <div class=\"ekit_accordion_normal_icon\">\n                                        <!-- Normal Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-plus\"><\/i>                                    <\/div>\n\n                                    <div class=\"ekit_accordion_active_icon\">\n                                        <!-- Active Icon -->\n\t\t\t\t\t\t\t\t\t\t<i class=\"icon icon-minus\"><\/i>                                    <\/div>\n                                <\/div>\n\n                            \n                                                    <\/a>\n                    <\/div>\n\n                    <div id=\"Collapse-a6e330569e5eba272eb0\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-fe0cd6b\" data-parent=\"#accordion-69e5eba272eb0\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>These specialized doctors will take a detailed medical history, perform a neurological examination, and carry out various tests to assess the function of your vestibular system.<\/p><p>You will probably undergo some of the following diagnostic tests:<\/p><ul><li>Hearing test and vestibular function tests<\/li><li>Imaging such as magnetic resonance imaging (MRI) or computer tomography (CT); this can help to rule out diseases such as semicircular canal dehiscence (SCD syndrome)<\/li><\/ul><p>Since many other diseases cause similar symptoms, the doctor must rule out diseases such as Meniere's disease or vestibular migraine before diagnosing perilymphatic fistula.<\/p>                        <\/div>\n\n                    <\/div>\n\n                <\/div><!-- .elementskit-card END -->\n\n                                        <\/div>\n    <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e56d0d1 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"7e56d0d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Treatment of perilymphatic fistula<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a89e83a elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"a89e83a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Different doctors and researchers have different opinions on how best to treat a perilymph fistula. Some doctors believe that rapid treatment is necessary to achieve a good result. Others have found that patients can benefit from treatment even after years of disease development.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b64c756 e-grid e-con-full e-con e-child\" data-id=\"7b64c756\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t<div class=\"elementor-element elementor-element-59c4d100 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"59c4d100\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:400,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1aa3b18a elementor-widget elementor-widget-heading\" data-id=\"1aa3b18a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Therapy option<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6ed895 elementor-widget elementor-widget-image\" data-id=\"b6ed895\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"2048\" height=\"2048\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-2048x2048.png\" class=\"attachment-2048x2048 size-2048x2048 wp-image-4626\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-2048x2048.png 2048w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/1-ohn-hg-1536x1536.png 1536w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3f0709fe elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3f0709fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a52e343 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"1a52e343\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Avoid triggers<\/u><\/p><p>Some doctors prefer to wait a few months and see if the fistula heals on its own. During this time, you should avoid lifting heavy things, flying, playing wind instruments, scuba diving or anything else that could increase the pressure in your body. Your doctor may even suggest bed rest, although this is an outdated approach and many doctors no longer consider it necessary.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16ab2fc e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"16ab2fc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75a17764 elementor-widget elementor-widget-heading\" data-id=\"75a17764\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Therapy option<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-824c63 elementor-widget elementor-widget-image\" data-id=\"824c63\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png\" class=\"attachment-large size-large wp-image-4629\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg-1536x1536.png 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/2-ohne-hg.png 1563w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ef7dcbf elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3ef7dcbf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d041e8b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"3d041e8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Treatment of other possible diseases<\/u><\/p><p>Your doctor may suggest trying some treatments for Meniere's disease or migraine, especially if the diagnosis of perilymphatic fistula is not clear.<\/p><p>\u00a0<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-553f2444 e-con-full e-transform e-flex elementor-invisible e-con e-child\" data-id=\"553f2444\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;,&quot;animation_delay&quot;:500,&quot;_transform_translateY_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:-5,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_list&quot;:[],&quot;_transform_translateX_effect_hover&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateX_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;_transform_translateY_effect_hover_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7eb3d1f7 elementor-widget elementor-widget-heading\" data-id=\"7eb3d1f7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Therapy option<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f7aee7a elementor-widget elementor-widget-image\" data-id=\"7f7aee7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1024x1024.png\" class=\"attachment-large size-large wp-image-4630\" alt=\"\" srcset=\"https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1024x1024.png 1024w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-300x300.png 300w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-150x150.png 150w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-768x768.png 768w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-1536x1536.png 1536w, https:\/\/ivrt.de\/wp-content\/uploads\/2024\/09\/3-ohne-hg-2048x2048.png 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e5bb9d7 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4e5bb9d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5834df3b elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"5834df3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><u>Surgery<\/u><\/p><p>If your perilymphatic fistula is visible with imaging or if you have definitely had an injury or other event that may have caused the fistula, your doctor may suggest surgery to close the opening. Surgical treatment of perilymphatic fistula may involve the use of surgical glue, tissue grafting and\/or laser surgery. It may be a simple procedure in your doctor's office or a more complicated surgery in a hospital. This depends in part on where the fistula is located.<\/p><p>Another surgical option for treating perilymphatic fistula is a pressure equalization tube (PE tube or tympanotomy tube). The surgeon makes a tiny hole in the eardrum on the same side as the fistula and then inserts a small, soft tube into the hole. This helps to equalize the pressure inside and outside the middle ear. This can help to protect the ear from external sources of pressure, e.g. when flying.<\/p><p>In extremely rare cases, if nothing else helps and the symptoms are unbearable, the doctor may suggest severing the vestibular nerve as a last resort.<\/p><p>A less invasive option is the injection of gentamicin, an antibiotic that destroys the cells in the vestibular part of the inner ear. In most cases, patients no longer have vertigo after this treatment. However, there is a risk of hearing loss with this treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1f01ac4f e-flex e-con-boxed e-con e-parent\" data-id=\"1f01ac4f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-706f85 e-con-full e-flex e-con e-child\" data-id=\"706f85\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-125a4cda elementor-widget__width-inherit elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"125a4cda\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>What happens next?<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e2a6e54 elementor-widget__width-initial elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e2a6e54\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What you can expect in the future.\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b952bbc elementor-widget elementor-widget-text-editor\" data-id=\"b952bbc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>New tests are being developed for perilymphatic fistula. These tests look for a specific molecule (or biomarker) that is only found in the perilymph and is known as Cochlin's tomoprotein or CTP. To perform the test, a doctor takes a sample of fluid from the middle ear during a surgical procedure. A laboratory then analyzes the sample. If the test shows CTP in the fluid, it means that perilymph is leaking into the middle ear. However, only 1 in 5 cases of perilymph fistula is found with this test. The test is currently only available in Japan, but it may soon be approved in other countries.<\/p><p>\u00a0<\/p><p><strong>In order to keep this patient information as short as possible, we have not included a detailed list of references. However, this can be requested at any time at info@ivrt.de.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a312143 elementor-widget__width-auto elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"a312143\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:600}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/en\/vestibulaere-erkrankungen\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Other disorders<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Vestibul\u00e4re Erkrankung Perilymphfistel Diese Informationen sind als allgemeine Einf\u00fchrung in dieses Thema gedacht. Da jeder Mensch anders von Gleichgewichts- und Schwindelproblemen betroffen ist, solltest du mit deinem Arzt oder deiner \u00c4rztin sprechen, um dich individuell beraten zu lassen. Aus Gr\u00fcnden der besseren Lesbarkeit wird das\u00a0generische Maskulinum verwendet und auf die gleichzeitige Verwendung der Sprachformen m\u00e4nnlich, [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":7443,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":1656,"footnotes":""},"categories":[297],"tags":[],"class_list":["post-7441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-schwindelerkrankungen"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/7441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/comments?post=7441"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/posts\/7441\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media\/7443"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/media?parent=7441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/categories?post=7441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/en\/wp-json\/wp\/v2\/tags?post=7441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}