机构:[1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, 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 Tongren Hospital, Capital Medical University, Beijing, China临床科室耳鼻咽喉-头颈外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[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]and 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
The sigmoid sinus diverticulum (SSD) is an increasingly recognized cause of pulsatile tinnitus (PT). Surgical reconstruction of the sigmoid sinus wall has been found to be highly effective for SSD; however, surgical techniques still need to be refined to reduce the incidence of serious postoperative complications. Moreover, scrutinizing more cases of SSD is desirable for establishing the diagnostic criteria and standardizing the surgical technique. This study was retrospectively undertaken in 28 patients who were diagnosed with SSD upon computed tomography angiography (CTA) and digital subtraction angiography findings at Beijing Tongren Hospital in China. A majority of patients (20/28) presented with SSD and accompanying sigmoid sinus wall dehiscence (SSWD). Twenty-five patients opted to undergo sigmoid sinus wall reconstruction, and 3 patients refused surgery. Following surgery, 17 patients experienced complete resolution of PT, 3 patients experienced partial resolution, and 5 patients experienced no change in PT. No serious complications were found postoperatively. A comparative analysis of the preoperative and postoperative CTA findings suggested that completely resolving SSD and the accompanying SSWD resulted in the elimination of PT. In conclusion, SSD is generally accompanied by SSWD. Sigmoid sinus wall reconstruction is a safe and effective approach for the treatment of SSD. During surgery, completely resolving both SSD and SSWD is advisable, and maintaining the normal diameter of the sigmoid sinus is imperative.
基金:
National Science and Technology Pillar Program [2012BA112B05]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81171311, 81371545]; Beijing Municipal Commission of EducationBeijing Municipal Commission of Education [KZ20110025029]; 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 Medical University, Beijing, China[2]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 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 Medical University, Beijing, China[2]Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China[4]and Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China[*1]Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, 95th Yong’an Road, Xicheng District, Beijing 100050, China[*2]Department of Radiology, Beijing Friendship Hospital, Capital Medical University, 95th Yong’an Road, Xicheng District, Beijing 100050, China
推荐引用方式(GB/T 7714):
Wang Guo-Peng,Zeng Rong,Ma Xiao-Bo,et al.Surgical Treatment of Pulsatile Tinnitus Caused by the Sigmoid Sinus Diverticulum A Preliminary Study[J].MEDICINE.2015,94(21):doi:10.1097/MD.0000000000000882.
APA:
Wang, Guo-Peng,Zeng, Rong,Ma, Xiao-Bo,Liu, Zhao-Hui,Wang, Zhen-Chang&Gong, Shu-Sheng.(2015).Surgical Treatment of Pulsatile Tinnitus Caused by the Sigmoid Sinus Diverticulum A Preliminary Study.MEDICINE,94,(21)
MLA:
Wang, Guo-Peng,et al."Surgical Treatment of Pulsatile Tinnitus Caused by the Sigmoid Sinus Diverticulum A Preliminary Study".MEDICINE 94..21(2015)