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European Archives of Oto-Rhino-Laryngology

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01-05-2019 | Tinnitus | Otology

Physical and psychological outcomes of simple sigmoid sinus bony wall repair for pulsatile tinnitus due to sigmoid sinus wall anomalies

Authors: Chen Zhang, Qiang Li, Shufeng Li

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2019

Abstract

Purpose

Pulsatile tinnitus (PT) due to sigmoid sinus wall anomalies (SSWA) is a common health disorder. The purpose of this study is to investigate the efficiency of simple sigmoid sinus bony wall repair on tinnitus relief and psychological improvement.

Methods

Nine cases of PT due to SSWA were retrospectively reviewed. All of these cases had defect of sigmoid sinus bony wall with or without diverticulum in high-resolution CT. The bony defects were repaired by multi-layer materials, i.e., temporalis fascia, bone dust and another layer of bone dust. The assessment of visual analog scale (VAS) of tinnitus and Mandarin version of the tinnitus questionnaire (MTQ) were carried out before operation and at 1 week, 3 months, 6 months and 12 months after operation.

Results

All of eight cases treated by simple sigmoid sinus bony wall repair reported disappearance or significant relief of PT after operation. The VAS and MTQ scores at 1 week, 3 months, 6 months and 12 months after operation all significantly decreased when compared to that before operation (p < 0.05).

Conclusion

Simple repair of sigmoid sinus bony wall defects was an effective way to reduce the physical impact as well as the psychological impact of PT due to SSWA. The defect of sigmoid sinus bony wall played a key role in the pathophysiology of PT due to SSWA.

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Title: Physical and psychological outcomes of simple sigmoid sinus bony wall repair for pulsatile tinnitus due to sigmoid sinus wall anomalies
Authors: Chen Zhang
Qiang Li
Shufeng Li
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Keyword: Tinnitus
Published in: European Archives of Oto-Rhino-Laryngology / Issue 5/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-019-05380-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Physical and psychological outcomes of simple sigmoid sinus bony wall repair for pulsatile tinnitus due to sigmoid sinus wall anomalies

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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