Gastroesophageal reflux disease (GERD) is a complications of patients with severe motor and intellectual disabilities. We examined on 17 patients who operated with GERD. They were divided into 2 groups. Group 1 was comprised of young cases with severe spasticity and chronic respiratory insufficiency. They were under 23 years old. Group 2 with severe intellectual disabilities, aerophagia and/or rumination. They were around 30 years old. Older patients had deformities of the stomach and esophagus. After the operations, fourteen patients had a fair prognosis, three had persistent gastroesophageal reflux (GER), and six patients had subsequent relapse of their GER, and two died.
A case of surgically confirmed perilymphatic fistula is reported. A 50-year-old woman visited us on the 26th day of having hearing loss, tinnitus, ear fullness, dizziness and the sensation of water-flow in the right ear, which began just after blowing the nose. The pure tone audiogram showed sensory hearing loss of 74 dB. An exploratory tympanotomy on the 110th day revealed a fracture of the stapedial footplate and perilymphatic leakage from the fracture. The fistula was sealed with a piece of connective tissue and Gelform, with resultant control of dizziness.
