机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital MedicalUniversity, Beijing, China首都医科大学附属北京友谊医院[2]Department of Otolaryngology Head and Neck Surgery, Beijing TongrenHospital, Capital Medical University, Beijing, China首都医科大学附属同仁医院[3]Department of Radiology, Beijing Tongren Hospital,Capital Medical University, Beijing, China医技科室放射科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[4]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China首都医科大学附属北京友谊医院
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.
基金:
National Science AMP; Technology Pillar Program [2012BA112B05]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81171311, 81371545]; Beijing Municipal Commission of EducationBeijing Municipal Commission of Education [KZ20110025029, TJSHG201510025004]; Beijing Municipal Science and Technology CommissionBeijing Municipal Science & Technology Commission [D101100050010031]; Capital Medical University of China [13JL03]
第一作者机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital MedicalUniversity, Beijing, China
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Zeng Rong,Wang Guo-Peng,Liu Zhao-Hui,et al.Sigmoid Sinus Wall Reconstruction for Pulsatile Tinnitus Caused by Sigmoid Sinus Wall Dehiscence: A Single-Center Experience[J].PLOS ONE.2016,11(10):doi:10.1371/journal.pone.0164728.
APA:
Zeng, Rong,Wang, Guo-Peng,Liu, Zhao-Hui,Liang, Xi-Hong,Zhao, Peng-Fei...&Gong, Shu-Sheng.(2016).Sigmoid Sinus Wall Reconstruction for Pulsatile Tinnitus Caused by Sigmoid Sinus Wall Dehiscence: A Single-Center Experience.PLOS ONE,11,(10)
MLA:
Zeng, Rong,et al."Sigmoid Sinus Wall Reconstruction for Pulsatile Tinnitus Caused by Sigmoid Sinus Wall Dehiscence: A Single-Center Experience".PLOS ONE 11..10(2016)