Traumatic fracture of the stapes and perilymph fistula: report of a case.

We herein report a case of traumatic fracture of the stapes accompanying vestibular window rupture with perilymph fistula, and its diagnosis and surgical procedure were discussed. In the present case, a direct force through the external auditory canal damaged not only the ossicular chain but also the vestibular window. On the exploratory tympanotomy, the complete dislocation and fracture of the stapes with a relatively huge rupture was confirmed. Perilymph fistula was repaired with a connective tissue graft, which was inserted between disrupted vestibular window and the long process of the incus. Vestibular dysfunctions disappeared within 3 days, and a satisfactory audiologic result was obtained one month after surgery.