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Sigmoid Sinus Wall Reconstruction for Pulsatile Tinnitus Caused by Sigmoid Sinus Wall Dehiscence: A Single-Center Experience

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机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital MedicalUniversity, Beijing, China [2]Department of Otolaryngology Head and Neck Surgery, Beijing TongrenHospital, Capital Medical University, Beijing, China [3]Department of Radiology, Beijing Tongren Hospital,Capital Medical University, Beijing, China [4]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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Objective To evaluate clinical characteristics and present surgical outcomes of PT caused by sigmoid sinus wall dehiscence (SSWD) Methods This study retrospectively reviewed 34 patients with PT who were diagnosed with SSWD in our institution between December 2008 and July 2013. Among them, 27 patients underwent sigmoid sinus wall reconstruction (surgery group) and 7 patients refused surgery (non-surgery group). Preoperative data were obtained from the patients' medical records. All patients were followed up regularly for at least 25 months. Preoperative and postoperative computed tomography angiography (CTA) images were compared. Student's t-tests were used to compare age, body mass index (BMI) and preoperative Tinnitus Handicap Inventory (THI) scores between the surgery and the non-surgery groups and to compare pre-and follow-up THI scores. Results There was no significant difference in age, body mass index, or preoperative THI scores between groups. Following surgery, 14 patients had complete resolution, 5 had partial resolution, 7 experienced no change and PT was aggravated in 1 patient. The difference between preoperative and postoperative THI scores was significant. No severe complications were found postoperatively. Comparison of the preoperative and postoperative CTA images revealed that remnant unrepaired dehiscences were the cause of unsatisfactory outcomes following surgery. In the non-surgery group, PT remained largely unchanged. Conclusions Sigmoid sinus wall reconstruction is an effective and safe treatment for PT caused by SSWD. It is imperative that all regions of the dehiscence are sufficiently exposed and resurfaced during surgery.

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基金编号: 2012BA112B05 81171311 81371545 KZ20110025029 TJSHG201510025004 D101100050010031 13JL03

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出版当年[2015]版:
大类 | 3 区 生物
小类 | 3 区 综合性期刊
最新[2023]版:
大类 | 3 区 综合性期刊
小类 | 3 区 综合性期刊
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出版当年[2014]版:
Q1 MULTIDISCIPLINARY SCIENCES
最新[2023]版:
Q1 MULTIDISCIPLINARY SCIENCES

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital MedicalUniversity, Beijing, China
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通讯机构: [1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital MedicalUniversity, Beijing, China [2]Department of Otolaryngology Head and Neck Surgery, Beijing TongrenHospital, Capital Medical University, Beijing, China
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