Treatment of venous pulsatile tinnitus by compression reconstruction of sigmoid sinus

Abstract

Background

Surgical intervention can effectively treat venous pulsatile tinnitus.

Aim/objectives

To assess the effectiveness of treating of venous pulsatile tinnitus (VPT) by compression reconstruction of sigmoid sinus (SSCR) under local anesthesia.

Material and methods

This study retrospectively reviewed 41 patients with VPT in our otolaryngology department between September 2009 and February 2019. Under local anesthesia, all patients were received SSCR. Pre- and postoperative Tinnitus Handicap Inventory (THI) degree and scores were used to evaluate the efficacy of SSCR for VPT.

Results

Of the 41 patients, 36 patients were followed up from 9 months to 8 years and 5 patients were lost to follow-up and were excluded from the data analysis. SSCR was clinically effective in 86% of patients with complete disappearance in 18 patients (50%), partial remission in 10 patients (28%), slight alleviation in 3 patients (8%), and no change in 5 patients (14%). The pre- and postoperative THI degree and scores were significantly different (p < .001 and p = .002, respectively).

Conclusions and significance

SSCR under local anesthesia is effective for treating patients with VPT. It is critical to perform a rigorous pre-operative clinical and radiological evaluation to reduce intra- and postoperative complications.

Chinese abstract

背景：手术干预可有效治疗静脉搏动性耳鸣。

目的：通过局部麻醉下乙状窦压缩重建（SSCR）来评估静脉搏动性耳鸣（VPT）的疗效。

材料与方法：本研究回顾性分析了2009年9月至2019年2月间在我们耳鼻喉科接受治疗的41例VPT患者。所有患者均接受了局部麻醉下的SSCR。术前和术后耳鸣残障量表（THI）的程度和分数用于评估SSCR对VPT的疗效。

结果：41例患者中, 有36例接受随访9个月至8年；有5例失访, 因此被排除在数据分析之外。 SSCR对86％的患者有效, 其中18例（50％）病症完全消失, 10例（28％）病情部分缓解, 3例（8％）轻度缓解, 5例（14％）没有改变。术前和术后THI的程度和评分存在显着差异（分别为p <.001和p¼.002）。

结论与意义：局麻下SSCR对治疗VPT有效。进行严格的术前临床和放射学评估对减少术中和术后并发症至关重要。

Keywords:

• Venous pulsatile tinnitus
• compression reconstruction of sigmoid sinus
• Tinnitus Handicap Inventory

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the National Natural Science Foundation of China [grant number 81770991].