{"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\/nl\/schwindelerkrankungen\/perilymphfistel\/","title":{"rendered":"Perilymfatische fistel"},"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>Vestibulaire aandoening<\/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\">Perilymfatische fistel<\/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>Deze informatie dient als een algemene inleiding tot dit onderwerp.<\/i> <i>Aangezien evenwichts- en duizeligheidsproblemen iedereen op een unieke manier kunnen be\u00efnvloeden, wordt geadviseerd om een arts te raadplegen voor persoonlijk advies.<\/i><\/p><p><i>Om de leesbaarheid te bevorderen, is in deze tekst gekozen voor neutrale formuleringen en worden persoonlijke voornaamwoorden gebruikt die alle genders omvatten, tenzij anders gespecificeerd. We erkennen en respecteren de diversiteit in genderidentiteit en streven ernaar om taal te gebruiken die voor iedereen toegankelijk en inclusief is.<\/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\">Wat is een perilymfatische fistel?<\/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>Een fistel is een abnormale verbinding tussen twee delen van het lichaam. Perilymfe is de vloeistof die het benige labyrint in het binnenoor vult.<\/p><p>Een perilymf fistel is dus een opening of scheur in een of beide membranen die het midden- en binnenoor van elkaar scheiden. Door deze opening kan perilymfe van het binnenoor naar het middenoor lekken. Het kan voorkomen in het ovale of ronde venster, in een van de halfcirkelvormige kanalen (vergelijkbaar met halfcirkelvormige kanaaldehiscentie) of op een andere locatie.<\/p><p>Een perilymfatische fistel kan plotseling of progressief gehoorverlies en duizeligheid veroorzaken.<\/p><p>Een perilymfatische fistel is een controversi\u00eble aandoening. Artsen en onderzoekers zijn het niet eens over de definitie, wanneer de diagnose gesteld moet worden en hoe ze behandeld moet worden. Er is geen specifieke test om de diagnose te stellen en de definitie van perilymfatische fistels is in de loop der jaren veranderd. Bovendien lijken de symptomen op die van andere binnenooraandoeningen. Gelukkig worden de symptomen steeds beter herkend.<\/p><p>Perilymfatische fistels zijn zeldzaam. Een groep onderzoekers schat dat ongeveer 1,5 op de 100.000 volwassenen een perilymfatische fistel heeft. Het lijkt vaker voor te komen bij kinderen met perceptief gehoorverlies zonder duidelijke oorzaak (idiopathisch).<\/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\">Samenvatting<\/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\">Een abnormale opening of scheur in \u00e9\u00e9n of beide membranen die het midden- en binnenoor van elkaar scheiden.<\/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\">Kan leiden tot plotseling of progressief gehoorverlies en duizeligheid (draaiduizeligheid).<\/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\">Zeldzame en controversi\u00eble aandoening, omdat niet iedereen het eens is over de definitie, diagnose of behandeling.<\/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\">Het kan worden veroorzaakt door een ziekte, een druk verhogend moment of barotrauma, of zonder aanwijsbare reden.<\/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\">De behandeling kan bestaan uit het vermijden van triggers, het behandelen van andere aandoeningen of een operatie.<\/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\">Als PDF downloaden \u2013 Duits<\/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\">Als PDF downloaden - Nederlands<\/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\">Wat veroorzaakt een perilymfatische fistel?\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>Veel verschillende dingen kunnen perilymfatische fistels veroorzaken. Onlangs zijn de volgende vier groepen oorzaken ge\u00efdentificeerd:<\/p><ul><li>Ziekte (bijv. hersenvliesontsteking), trauma (bijv. licht traumatisch hersenletsel) of chirurgie<\/li><li>Barotrauma (drukverhogende momenten) veroorzaakt door externe krachten (zoals vliegen of duiken)<\/li><li>Barotrauma (drukverhogende momenten) veroorzaakt door inwendige krachten (zoals persen, niezen of hoesten)<\/li><li>Geen duidelijke oorzaak (idiopathisch)<\/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-69e8f08c259f7\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-4ea9d450\">\n                        <a href=\"#collapse-a6e330569e8f08c259f7\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569e8f08c259f7\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569e8f08c259f7\">\n                            \n                            <span class=\"ekit-accordion-title\">Symptomen van een perilymfatische fistel<\/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-a6e330569e8f08c259f7\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-4ea9d450\" data-parent=\"#accordion-69e8f08c259f7\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Een perilymfatische fistel kan zowel vestibulaire als auditieve stoornissen veroorzaken.<\/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-d14d6b569e8f08c259f7\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-d14d6b569e8f08c259f7\" aria-expanded=\"false\" aria-controls=\"Collapse-d14d6b569e8f08c259f7\">\n                            \n                            <span class=\"ekit-accordion-title\">Vestibulaire symptomen van een perilymfatische fistel:<\/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-d14d6b569e8f08c259f7\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-4ea9d450\" data-parent=\"#accordion-69e8f08c259f7\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>Draaiduizeligheid<\/li><li>Evenwichtsstoornissen<\/li><li>Misselijkheid of braken<\/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-417cba969e8f08c259f7\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-417cba969e8f08c259f7\" aria-expanded=\"false\" aria-controls=\"Collapse-417cba969e8f08c259f7\">\n                            \n                            <span class=\"ekit-accordion-title\">Auditieve symptomen van een perilymfatische fistel:<\/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-417cba969e8f08c259f7\" class=\"collapse\" aria-labelledby=\"primaryHeading-2-4ea9d450\" data-parent=\"#accordion-69e8f08c259f7\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <ul><li>Plotseling of progressief perceptief gehoorverlies dat soms beter of slechter wordt (fluctuerend)<\/li><li>Oorsuizen<\/li><li>Gevoeligheid voor alledaagse geluiden (hyperacusis)<\/li><li>Een vol gevoel of stromend water in het oor<\/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-3dfff9769e8f08c259f7\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-3dfff9769e8f08c259f7\" aria-expanded=\"false\" aria-controls=\"Collapse-3dfff9769e8f08c259f7\">\n                            \n                            <span class=\"ekit-accordion-title\">Verdere mogelijke problemen<\/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-3dfff9769e8f08c259f7\" class=\"collapse\" aria-labelledby=\"primaryHeading-3-4ea9d450\" data-parent=\"#accordion-69e8f08c259f7\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Sommige mensen met perilymfatische fistels hebben problemen met het waarnemen van complexe omgevingen zoals mensenmassa's of verkeer. Ze hebben ook concentratie- en geheugenproblemen en merken op dat hun symptomen worden uitgelokt door harde geluiden.<\/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-49c8b0d69e8f08c259f7\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-49c8b0d69e8f08c259f7\" aria-expanded=\"false\" aria-controls=\"Collapse-49c8b0d69e8f08c259f7\">\n                            \n                            <span class=\"ekit-accordion-title\">Mogelijke 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-49c8b0d69e8f08c259f7\" class=\"collapse\" aria-labelledby=\"primaryHeading-4-4ea9d450\" data-parent=\"#accordion-69e8f08c259f7\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>De symptomen kunnen ook verergeren door activiteiten die drukveranderingen in of buiten het lichaam veroorzaken, zoals:<\/p><ul><li>Hoesten<\/li><li>Niezen<\/li><li>Neus snuiten<\/li><li>Inspannen<\/li><li>Sporten<\/li><li>Vliegen<\/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\">Diagnose van een perilymfatische fistel\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-69e8f08c27235\">\n\n            \n                <div class=\"elementskit-card\">\n                    <div class=\"elementskit-card-header\" id=\"primaryHeading-0-fe0cd6b\">\n                        <a href=\"#collapse-75926e169e8f08c27235\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-75926e169e8f08c27235\" aria-expanded=\"false\" aria-controls=\"Collapse-75926e169e8f08c27235\">\n                            \n                            <span class=\"ekit-accordion-title\">Wie diagnosticeert de aandoening?<\/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-75926e169e8f08c27235\" class=\"collapse\" aria-labelledby=\"primaryHeading-0-fe0cd6b\" data-parent=\"#accordion-69e8f08c27235\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Een perilymfatische fistel kan worden gediagnosticeerd door een neuro-otoloog of KNO-arts die gespecialiseerd is in duizeligheid.<\/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-a6e330569e8f08c27235\" class=\"ekit-accordion--toggler elementskit-btn-link collapsed\" data-ekit-toggle=\"collapse\" data-target=\"#Collapse-a6e330569e8f08c27235\" aria-expanded=\"false\" aria-controls=\"Collapse-a6e330569e8f08c27235\">\n                            \n                            <span class=\"ekit-accordion-title\">Hoe wordt een perilymfefistel gediagnosticeerd?<\/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-a6e330569e8f08c27235\" class=\"collapse\" aria-labelledby=\"primaryHeading-1-fe0cd6b\" data-parent=\"#accordion-69e8f08c27235\">\n\n                        <div class=\"elementskit-card-body ekit-accordion--content\">\n                            <p>Deze gespecialiseerde artsen zullen een grondige anamnese afnemen, een neurologisch onderzoek uitvoeren en verschillende tests doen om de functie van je vestibulaire systeem te beoordelen.<\/p><p>Waarschijnlijk worden enkele van de volgende diagnostische tests uitgevoerd:<\/p><ul><li>Gehoortest en vestibulaire functietests<\/li><li>Een beeldvormende test zoals een MRI-scan (Magnetic Resonance Imaging) of CT-scan (Computed Tomography); dit kan helpen om aandoeningen zoals dehiscentie van het halfcirkelvormige kanaal (SCD-syndroom) uit te sluiten.<\/li><\/ul><p>Omdat veel andere aandoeningen vergelijkbare symptomen veroorzaken, moet de arts aandoeningen zoals de ziekte van Meni\u00e8re of vestibulaire migraine uitsluiten voordat de diagnose perilymfatische fistel wordt gesteld.<\/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\">Behandeling van perilymfatische fistels<\/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>Verschillende artsen en onderzoekers hebben andere meningen over hoe perilymfatische fistels het beste behandeld kunnen worden. Sommige artsen zijn van mening dat een snelle behandeling noodzakelijk is om een goed resultaat te bereiken. Anderen hebben ontdekt dat pati\u00ebnten zelfs na jaren van ziekteontwikkeling baat kunnen hebben bij behandeling.<\/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\">Behandelingsoptie<\/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>Triggers vermijden<\/u><\/p><p>Sommige artsen wachten liever een paar maanden en kijken of de fistel vanzelf geneest. Gedurende deze tijd moet je zware dingen tillen, vliegen, blaasinstrumenten bespelen, duiken of iets anders dat de druk in je lichaam kan verhogen vermijden. Je arts kan zelfs bedrust voorstellen, hoewel dit een verouderde aanpak is en veel artsen dit niet langer nodig vinden.<\/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\">Behandelingsoptie<\/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>Behandeling van andere mogelijke aandoeningen<\/u><\/p><p>Je arts kan voorstellen om een aantal behandelingen voor de ziekte van Meni\u00e8re of migraine te proberen, vooral als de diagnose perilymfistel niet duidelijk is.<\/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\">Behandelingsoptie<\/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>Chirurgie<\/u><\/p><p>Als je perilymfatische fistel zichtbaar is met beeldvorming of als je zeker een verwonding of andere gebeurtenis hebt gehad die de fistel kan hebben veroorzaakt, kan je arts een operatie voorstellen om de opening te sluiten. Chirurgische behandeling van perilymfatische fistels kan bestaan uit het gebruik van chirurgische lijm, weefseltransplantaten en\/of laserchirurgie. Het kan een eenvoudige ingreep zijn in de spreekkamer van je arts of een meer gecompliceerde operatie in een ziekenhuis. Dit hangt gedeeltelijk af van waar de fistel zich bevindt.<\/p><p>Een andere chirurgische optie voor de behandeling van perilymfatische fistels is een drukvereffeningsbuisje (PE-buisje of tympanotomiebuisje). De chirurg maakt een klein gaatje in het trommelvlies aan dezelfde kant als de fistel en brengt dan een klein, zacht buisje in het gaatje. Dit helpt om de druk binnen en buiten het middenoor gelijk te maken. Dit kan helpen om het oor te beschermen tegen externe drukbronnen, bijvoorbeeld tijdens het vliegen.<\/p><p>In extreem zeldzame gevallen, als niets anders helpt en de symptomen ondraaglijk zijn, kan de arts als laatste redmiddel voorstellen om de nervus vestibularis door te snijden.<\/p><p>Een minder invasieve optie is de injectie van gentamicine, een antibioticum dat de cellen in het vestibulaire deel van het binnenoor vernietigt. In de meeste gevallen hebben pati\u00ebnten na deze behandeling geen last meer van duizeligheid. Er is echter een risico op gehoorverlies bij deze behandeling.<\/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>Wat gebeurt er nu?<\/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\">Wat je in de toekomst kunt verwachten.\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>Er worden nieuwe tests ontwikkeld voor perilymfatische fistels. Deze tests zoeken naar een specifiek molecuul (of biomarker) dat alleen wordt gevonden in de perilymfe en bekend staat als Cochlin's tomoprote\u00efne of CTP. Om de test uit te voeren, neemt een arts tijdens een chirurgische ingreep een vloeistofmonster uit het middenoor. Een laboratorium analyseert het monster vervolgens. Als de test CTP in de vloeistof aantoont, betekent dit dat er perilymfe in het middenoor lekt. Maar slechts 1 op de 5 gevallen van perilymf fistels wordt gevonden met deze test. De test is momenteel alleen beschikbaar in Japan, maar wordt mogelijk binnenkort ook in andere landen toegelaten.<\/p><p>\u00a0<\/p><p><strong>Om deze pati\u00ebnteninformatie zo kort mogelijk te houden, hebben we geen gedetailleerde lijst met referenties opgenomen. Deze kan echter op elk moment worden opgevraagd via 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=\"\/nl\/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\">Andere aandoeningen<\/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":1665,"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\/nl\/wp-json\/wp\/v2\/posts\/7441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/comments?post=7441"}],"version-history":[{"count":0,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/posts\/7441\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/media\/7443"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/media?parent=7441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/categories?post=7441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/nl\/wp-json\/wp\/v2\/tags?post=7441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}