Abstract
Background: If the pulsatile tinnitus caused by sigmoid sinus diverticulum/dehiscence cannot be diagnosed and treated, it can lead to significant morbidity and mortality.
Aim: To assess the sandwich surgical technique for sigmoid sinus wall reconstruction for the treatment of pulsatile tinnitus caused by sigmoid sinus diverticulum/dehiscence.
Methods: A chart review was conducted with 17 patients suffering from pulsatile tinnitus caused by sigmoid sinus diverticulum/dehiscence who underwent sinus wall reconstruction surgery between January 2014 and July 2019.
Results: Of the total patients studied, 16 were female, and one was male. The procedure was performed on the right ear of 15 patients and on the left ear of 2 patients. The pulsatile tinnitus disappeared in all patients following the sinus wall reconstruction surgery using the sandwich technique. The mean follow-up time was 25 months (a range of 8-55 months). In the follow-up period, no recurrence of pulsatile tinnitus was found. None of the patients experienced major complications such as thrombosis.
Conclusions: The sandwich surgical technique for sinus wall reconstruction as a treatment for pulsatile tinnitus caused by sigmoid sinus diverticulum is safe and effective.
Chinese abstract
背景:如果乙状窦憩室/裂开所引起的搏动性耳鸣不能被诊断出来和并加以治疗, 则可能导致高发病率和死亡率。
目的:评估通过重建乙状窦壁来治疗由乙状窦憩室/开裂引起的搏动性耳鸣的夹层手术法。
方法:回顾性分析了2014年1月至2019年7月间因乙状窦憩室/裂开所引起的搏动性耳鸣的17例患者。
结果:在所研究的所有患者中, 女性16例, 男性1例。对15例患者的右耳和2例患者的左耳进行了该手术。使用夹层技术进行窦壁重建手术后, 所有患者的搏动性耳鸣均消失。平均随访时间为25个月(8-55个月)。在随访期内, 未发现搏动性耳鸣复发。没有患者经历过如血栓形成的严重并发症。
结论:用夹层外科手术重建窦房壁是治疗乙状窦憩室引起的搏动性耳鸣的安全有效的方法。
Disclosure statement
No potential conflict of interest was reported by the authors.