Treatment of venous pulsatile tinnitus by compression reconstruction of sigmoid sinus. (1st March 2021)

• Record Type: Journal Article
• Authors: Chen, Jiyue; Su, Yu; Dai, Jing; Zhang, Chi; Wu, Jie; Wang, Wenjia; Han, Dongyi
• Is Part Of: Acta oto-laryngologica. Volume 141:Number 3(2021)
• Page Start: 242
• Page End: 249
• Publication Date: 2021-03-01
• Subjects: Venous pulsatile tinnitus -- compression reconstruction of sigmoid sinus -- Tinnitus Handicap Inventory; Otolaryngology -- Periodicals; Ear -- Diseases -- Periodicals; Throat -- Diseases -- Periodicals; Otolaryngology -- Electronic Resources; Otorhinolaryngologic Diseases; 617.8
• DOI: 10.1080/00016489.2020.1859612
• Languages: English
• ISSNs: 0001-6489

Abstract

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.