Surgical treatment of pulsatile tinnitus related to the sigmoid sinus
Yuxuan Xing1
Song Gao1
Yuchen Zhou2
Shenghua Song1
Ling Lu1
Jie Chen1
Yanhong Dai1
1.Department of Otolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Jiangsu Provincial Key Medical Discipline(Laboratory),Nanjing,210008,People's Republic of China;Research Institute of Otolaryngology,No.321 Zhongshan Road,Nanjing,210008,People's Republic of China2.Department of Otolaryngology Head and Neck Surgery,Affiliated Drum Tower Hospital of Nanjing University Medical School,Jiangsu Provincial Key Medical Discipline(Laboratory),Nanjing,210008,People's Republic of China;Research Institute of Otolaryngology,No.321 Zhongshan Road,Nanjing,210008,People's Republic of China;Department of Otolaryngology Head and Neck Surgery,Drum Tower Hospital Clinical College of Nanjing Medical University,Nanjing,210008,People's Republic of China
摘要：Objective:Tinnitus—a common clinical symptom—can be categorized into pulsatile tinnitus(PT)and non-PT.Among these,PT is usually associated with sigmoid sinus symptoms,such as sigmoid sinus wall defect or diverticulum,for which various surgical treatments are available.We have discussed the clinical efficacy of surgery for sigmoid sinus-associated PT via the transmastoid approach in this study.Methods:We conducted a retrospective review of 4 patients who underwent surgery for sigmoid sinus-associated PT via the transmastoid approach at Nanjing Drum Tower Hospital from January to December 2020.Of these,2 patients had sigmoid sinus wall defect and 2 had sigmoid sinus diverticulum.Post-operative tinnitus grading and surgical efficacy were determined.Results:After surgery,PT dissolved in 3 patients,while tinnitus significantly decreased in 1 patient.During the follow-up period of 12-18 months,none of the 4 patients showed complications related to increased intracranial pressure or venous sinus thrombosis,and tinnitus symptoms disappeared in 3 patients without recurrence,although 1 patient occasionally developed tinnitus.Postoperative thin-slice CTA of the temporal bone indicated that the sigmoid sinus bone wall defect or diverticulum was completely repaired with a thick soft tissue coverage.Conclusion:Surgical repair of sigmoid sinus-associated PT via the transmastoid approach deserves clinical promotion as it exhibited better efficiency while being relatively less invasive.
机标关键词：sigmoidpulsatilerelatedsinussurgicaltinnitustreatment
论文发表日期：2023-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 21-25 )
英文信息