Intratympanic Steroid Injection Complicated by Iatrogenic Perilymphatic Fistula: A Cautionary Tale

Hannan A Qureshi; Daniel M Zeitler

doi:10.1002/lary.29613

Intratympanic Steroid Injection Complicated by Iatrogenic Perilymphatic Fistula: A Cautionary Tale

Laryngoscope. 2021 Sep;131(9):2088-2090. doi: 10.1002/lary.29613. Epub 2021 May 11.

Authors

Hannan A Qureshi¹, Daniel M Zeitler^{1

2}

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington, U.S.A.
² Department of Otolaryngology-Head and Neck Surgery, Virginia Mason Medical Center, Seattle, Washington, U.S.A.

PMID: 33973652
DOI: 10.1002/lary.29613

Abstract

Intratympanic (IT) steroid therapy is a mainstay treatment for sudden sensorineural hearing loss (SSNHL) for both initial therapy and salvage therapy. We report a rare case of iatrogenic perilymphatic fistula that resulted from trauma during an IT steroid injection for SSNHL. We discuss the diagnosis and treatment in the current case and compare it with previous reports from the literature. Laryngoscope, 131:2088-2090, 2021.

Keywords: Sudden sensorineural hearing loss; iatrogenic ear trauma; intratympanic steroids; perilymphatic fistula; stapedectomy.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Audiometry, Pure-Tone / methods
Female
Fistula / etiology
Hearing Loss, Sensorineural / diagnosis*
Hearing Loss, Sudden / drug therapy*
Humans
Iatrogenic Disease
Injection, Intratympanic
Perilymph
Salvage Therapy
Semicircular Canals / injuries
Semicircular Canals / pathology*
Stapes Surgery / adverse effects
Steroids / administration & dosage
Steroids / adverse effects*
Steroids / therapeutic use
Treatment Outcome
Vertigo / diagnosis
Vertigo / etiology
Vestibular Diseases / complications

Substances

Steroids