Comparison of the efficacy of sigmoid sinus constriction plus cartilage reconstruction and sigmoid sinus return surgery in sigmoid sinus-related pulsatile tinnitus.
10.13201/j.issn.2096-7993.2025.09.010
- Author:
Wei CAO
1
;
Zhechen WU
1
;
Yi ZHAO
2
;
Busheng TONG
2
;
Kun YAO
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery，Fuyang Hospital，Anhui Medical University，Fuyang，236000，China.
2. Department of Otolaryngology，Head and Neck Surgery，the First Affiliated Hospital of Anhui Medical University.
- Publication Type:English Abstract
- Keywords:
pulsatile tinnitus;
sigmoid sinus constriction;
sigmoid sinus recreation;
sigmoid sinus return;
tinnitus evaluation scale
- MeSH:
Humans;
Tinnitus/etiology*;
Retrospective Studies;
Cranial Sinuses/surgery*;
Male;
Plastic Surgery Procedures/methods*;
Female;
Cartilage/surgery*;
Diverticulum/complications*;
Middle Aged;
Treatment Outcome;
Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2025;39(9):854-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of sigmoid sinus constriction plus cartilage reconstruction technique for sigmoid sinus related pulsatile tinnitus. Methods:The clinical data of 31 patients with Sigmoid Sinus Diverticulum（SSD） who underwent surgical treatment from January 2020 to December 2023 were retrospectively analyzed. The surgical methods include transmastoid sigmoid sinus constriction and cartilage reconstruction, transmastoid sigmoid sinus（bone wax） return surgery. Among them, 15 patients had transmastoid sigmoid sinus strictation + cartilage reconstruction, and transmammary sigmoid sinus（bone wax） in 16 cases. The aesthetic of anesthesia include general and local anesthesia, 20 cases of general anesthesia, 11 cases of local anesthesia. The doctors of our team graded the degree of tinnitus in 1 week, 1 month and 3 months（Tinnitus Evaluation Questionnaire, TEQ）, and compared the degree of preoperative tinnitus to evaluate the surgical efficacy, and the intraoperative and postoperative complications were analyzed and summarized. Results:In 30 of 31 patients, tinnitus was cured or improved with satisfactory efficacy. Among the patients undergoing sigmoid sinus constrictation + cartilage reconstruction, one case had intraoperative sigmoid sinus rupture and bleeding; among the patients who underwent sigmoid sinus（bone wax） return, one patient did not improve postoperative tinnitus, and one patient had postoperative headache and blurred vision, which improved after 1 month of conservative treatment. Conclusion:In the treatment of intravenous pulsatile tinnitus caused by sigmoid sinus diverticulum, the precision of the return depth is difficult to control, and the insufficient and excessive return will cause poor efficacy and postoperative complications. Based on the observation of small sample size and recent curative effect, it is considered that the sigmoid sinus constriction + cartilage reconstruction technology has certain advantages in surgical efficacy, with few postoperative complications, but the operation is difficult, so pay attention to the prevention and emergency treatment of intraoperative sigmoid sinus rupture bleeding.
