Interpretative Challenges of the'Missing Perilymph'Sign in PLF Diagnosis-A Letter To The Editor
Jamil Ammara
Abstract：Dear Editor,
I am responding to Zou and Li's, 'The missing perilymph sign on MRI indicates a perilymphatic fistula: A case report' Zou J, Li H. Journal of Otology, 2025, 20(1): 1-4. https://doi.org/10.26599/JOTO.2025.9540001 proposing the 'missing perilymph' sign on MRI as a novel radiological indicator of perilymphatic fistula (PLF). This study adds to the growing body of work seeking objective, non-invasive diagnostic methods for PLF, a condition that has long eluded definitive radiological confirmation. The avoidance of gadolinium contrast in the imaging technique is an additional strength, given increasing awareness of gadolinium-associated risks (Starekova et al., 2024).
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Publication Date：2025-10-30
Online Publishing Date：2025-11-27(First online date of this platform, not the publication date of the document)
Pages：1( 281 )