KeypointsThe majority of injuries from yucca plants involved perforation of the tympanic membrane, but 14% of cases were complicated by perilymphatic fistula (PLF).Clinician should have a high index of suspicion of traumatic PLF with: oPerforation of the posterior tympanic membrane andoAny sensorineural hearing loss oroAny associated dizziness.Clinical testing for PLF (pressure or fistula tests) is often negative.Decision to urgently explore the ear suspected to have a traumatic PLF is based more upon history than objective assessment.Perilymphatic fistula can mimic classical signs of BPPV, due to pneumolabyrinth.INTRODUCTIONThe yucca plant (genus Yucca, family Asparagaceae, subfamily Agavoideae) is a ubiquitous plant whose long and sharp leaf spines (Figure ) are accountable for an increasing number of ear injuries presenting to the emergency department of our specialised tertiary hospital. Whereas most cases presented as easy‐to‐diagnose traumatic tympanic membrane perforations (TMP), which healed quickly, 4 cases were complicated by perilymphatic fistula (PLF), and these presented a diagnostic dilemma that resulted in late diagnoses.Image of the yucca plantMATERIALS AND METHODSEthical considerationsThe Human Research and Ethics Committee of the Royal Victorian Eye and Ear Hospital approved this audit and its publication (HREC Number: 17/1354HS). Patients whose history is identifiable from the description were contacted and have given
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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