A Clear Guide to Perilymph Fistula
Precision Diagnosis for Perilymph Fistula
Sudden dizziness or hearing shift after trauma or pressure changes? Perilymph fistula is a treatable inner ear fluid leak, not uncommon post-injury and rarely life-threatening. At Harley AVM, our team delivers targeted repair strategies. Urgently seek AVM care for worsening hearing loss, severe headaches, neck stiffness, fever, or neurological deficits. These warning signs demand immediate evaluation.
Comprehensive Care for Hearing, Vertigo & Balance
Comprehensive Care for Hearing, Vertigo & Balance
Abnormal Inner-Ear Fluid Leak
An Overview of Perilymph Fistula
A perilymph fistula is a condition in which inner-ear fluid leaks through an abnormal opening between the inner ear and the middle ear. This leak disrupts normal balance and hearing signals, often causing dizziness, unsteadiness, or hearing changes that fluctuate with pressure or activity.
Symptoms may worsen with coughing, straining, lifting, or changes in altitude, and can follow head injury, ear surgery, or sudden pressure changes. At Harley Audiovestibular Clinic, our team excels in distinguishing it from similar disorders through targeted evaluation. Because presentations vary and can mimic other balance disorders, accurate identification is important. Early assessment focuses on recognising characteristic triggers, monitoring hearing, and guiding safe management to prevent symptom progression.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 105 reviews Posted on shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.Posted on Dawn MannTrustindex verifies that the original source of the review is Google. my experience from the first phone call to meeting with Dr Arun on Monday has been outstanding. i have been suffering for four years with PPPD and Dr Arun and his team were beyond respectful, helpful and friendly, after feeling totally lost for the last four years being thrown from one HCP to another, I now have hope. Amazing experience and would strongly recommend Dr Arun and this practice for any vestibular disorders.Posted on Nick2015Trustindex verifies that the original source of the review is Google. Very good service efficient booking and profesional approachPosted on Jamie CodringtonTrustindex verifies that the original source of the review is Google. Fantastic carePosted on Ana KondratenkoTrustindex verifies that the original source of the review is Google. Great experience at Harley AVM. Attended the clinic to have vestibular tests conducted - high professionalism and comfort!Posted on Monika HlavkovaTrustindex verifies that the original source of the review is Google. A really good experience with the whole clinic - quick and efficient booking process, coordination between various teams, and generally a smooth operation. The consultation with Dr Rudy was very informative - he takes the time to understand the issue and answer questions, the tests seem to be very comprehensive and he is clear on the path forward. Would definitely recommend.Posted on Hughie ClarkTrustindex verifies that the original source of the review is Google. I recommend Harley AVC for anyone struggling with dizziness/pppd who isn’t sure what their next steps should be
Pinpointing the Cause
Diagnosing Perilymph Fistula
When to Get Checked
You should get assessed if dizziness or imbalance worsens with coughing, straining, lifting, or changes in pressure, or if symptoms follow head injury, ear surgery, or sudden barotrauma. Fluctuating hearing, ear fullness, or sound-induced dizziness should prompt audiovestibular review.
You should seek urgent assessment if symptoms appear suddenly with significant hearing loss, severe vertigo, persistent vomiting, neurological symptoms, or difficulty standing or walking. Early evaluation helps distinguish perilymph fistula from other balance disorders and guides safe, timely management.
How We Assess Perilymph Fistula
At Harley Audiovestibular Clinic, our assessment begins with learning about your detailed history from a senior audiovestibular healthcare professional, exploring sudden vertigo, hearing changes, trauma or pressure events, and symptom progression to identify perilymph fistula indicators. We prioritise unhurried consultations with our consultants, gaining a complete view of your experience.
We advance with audiometry, fistula tests, tympanometry, and high-resolution imaging if needed to confirm fluid leak precisely. Our senior clinicians collaborate closely to interpret every result with precision. This specialised pathway sets us apart, guiding personalised management plans that promote healing and restore function effectively.
Major Insurance Providers Accepted
DIAGNOSTIC TESTS
Specialist Tests to Assess Hearing, Balance and Inner Ear Health
Harley Street Specialists in Hearing, Dizziness & Balance
Specialist Care for Perilymph Fistula
Every Perilymph Fistula case is different. Your consultant will create a tailored plan to address your specific symptoms and lifestyle – when it started, how it affects your day, and which tests and treatments are right for you.