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Tailored re-roofing technique for pulsatile tinnitus caused by sigmoid sinus dehiscence or diverticulum.
Lee, Jeong Gum; Na, Gina; Hur, Young Kyun; Yoon, Ji Min; Kwak, Seung Min; Cho, Youn Jin; Kim, Minbum; Moon, In Seok.
Afiliación
  • Lee JG; Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine Seoul Korea.
  • Na G; Yonsei-Sol Otorhinolaryngology Clinic Seoul Korea.
  • Hur YK; Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine Seoul Korea.
  • Yoon JM; Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine Seoul Korea.
  • Kwak SM; Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine Seoul Korea.
  • Cho YJ; Department of Otorhinolaryngology-Head & Neck Surgery Catholic Kwandong University Incheon Korea.
  • Kim M; Department of Otorhinolaryngology-Head & Neck Surgery Catholic Kwandong University Incheon Korea.
  • Moon IS; Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine Seoul Korea.
Laryngoscope Investig Otolaryngol ; 9(3): e1251, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38765674
ABSTRACT

Background:

Sigmoid sinus diverticulum/dehiscence (SSD) is one of the treatable causes of venous pulsatile tinnitus. It can be diagnosed using temporal bone computed tomography (CT) or magnetic resonance angiography/venography (MRA). In cases where patients find their symptoms intolerable, surgical treatment is typically preferred. Here, we have presented a novel surgical technique involving sigmoid sinus re-roofing and have analyzed its feasibility.

Methods:

Between January 2020 and July 2023, approximately 150 patients with pulsatile tinnitus were evaluated at two different tertiary hospitals. Of these, 12 patients were diagnosed with SSD, and seven underwent surgical treatment. Five patients were treated with tailored reroofing (TRR) of the sigmoid sinus and two with transmastoid resurfacing (MRS) of the sigmoid sinus. We compared the Korean tinnitus handicap inventory (K-THI) score, pure tone audiogram (PTA) threshold, and CT findings before and a month after surgeries for these two techniques. The operation time was also analyzed.

Results:

In TRR cases, the K-THI score reduced from 55.0 ± 31.4 preoperatively to 4.0 ± 3.0 postoperatively, and the SSD was well-repositioned and covered by a bone chip postoperatively. In MRS cases, the K-THI score reduced from 41.0 ± 9.9 preoperatively to 15.0 ± 21.2 postoperatively, and the SSD was well-covered with bone cement postoperatively. The average surgical time of five TRR and two MRS cases were 77.5 ± 32.5 and 174.0 ± 75.0 min, respectively. No complications were noted.

Conclusions:

Despite the insufficient number of cases, we noted that TRR requires a reasonable amount of time, involves a smaller incision, and may provide favorable outcomes compared to conventional MRS in cases of pulsatile tinnitus associated with SSD. Level of evidence IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Investig Otolaryngol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Laryngoscope Investig Otolaryngol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos