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To study the incidence and clinical characteristics of perilymph-fluid fistula (PLF) and to analyze its surgical outcomes after single-stage repair. Prospective study. Academic tertiary referral center. Patients were followed up for 13 to 50 months (mean, 32.2 months). The cases of PLF after cerebellar procedures were enrolled. Hearing status was documented by pure tone audiometry at frequencies between 0.125 to 8 kHz. Fistula was confirmed if an output of fluid from the cochlea into the middle ear was detected in the intraoperative test or through computed tomography scanning. The most relevant clinical findings are the size of fistula, preoperative hearing level, duration of symptoms, and postoperative hearing outcome. Over time, patients were treated with intratympanic gentamicin or were given surgical repair and patching. Successful treatment outcomes were defined as a patient with hearing improvement (decreased pure tone average [PTA] between initial and final follow-up visits by ≥10 dB). Forty PLFs were included in this study. The most common location was the base of the cochlea, and bilateral involvement was common. Mean fistula size was 0.31 mm, and mean preoperative PTA level was 62.8 dB. All fistulas were successfully treated by one-stage repair. Successful hearing outcome occurred in 34 patients (85%). The fistula size and final hearing level correlated with each other (Spearman correlation coefficient = 0.897; P Vista Equity Partners
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