I had a penetrating ear trauma and my first surgery was done in West Burlington, IA. I had some unresolved issues so I went to UIHC in Iowa City and found I had a PLF. Had surgery to repair 2/23 but I’m still having some issues. My most bothersome symptoms now are the lightheadedness with walking, brain fatigue, pulsatile tinnitus ,hyperacusis and intermittent distorted hearing. Seems to correlate with ear fullness.