Long-Term Outcomes of Sigmoid Sinus Wall Reconstruction for Pulsatile Tinnitus Due to Sigmoid Sinus Wall Anomalies.
| Autor: | Ahanotu AE; Department of Otorhinolaryngology Head & Neck Surgery University of Maryland School of Medicine Baltimore, MD., Oslin K, Rasooly M, Eisenman DJ |
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| Jazyk: | angličtina |
| Zdroj: | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2024 Dec 01; Vol. 45 (10), pp. 1148-1152. Date of Electronic Publication: 2024 Oct 21. |
| DOI: | 10.1097/MAO.0000000000004352 |
| Abstrakt: | Objective: To assess the long-term outcomes of sigmoid sinus wall reconstruction (SSWR) in patients with pulsatile tinnitus (PT) with sigmoid sinus wall anomalies (SSWAs). Study Design: Single-center retrospective review. Setting: Tertiary referral center. Patients: Patients who underwent SSWR for PT with SSWAs more than 5 years prior to study initiation. Interventions: Therapeutic-all patients underwent sinus wall reconstruction for pulsatile tinnitus with sigmoid sinus anomalies. Main Outcome Measures: The primary outcomes were complete or partial resolution of PT lasting at least 5 years postoperatively and short-term relief from PT after surgery with long-term recurrence as determined by a self-assessment questionnaire and corroborated by the medical record. Results: Thirty-five patients (37 ears) out of 58 eligible patients 5 years postoperatively from SSWR completed the survey. Short-term and long-term success rates of SSWR are 97.3% (36/37 ears) and 83.8% (31/37 ears), respectively. Of the patients, 13.5% (5/37 ears) experienced recurrence of PT on the same side following initial resolution. Of our patients, 8.6% had a confirmed diagnosis of idiopathic intracranial hypertension (IIH) after a follow-up period of more than 5 years. Conclusions: Sinus wall reconstruction is an effective procedure for long-term control of PT in patients with SSWAs, with an acceptable safety profile and very low additional risk of exacerbating or provoking complications associated with IIH. Competing Interests: Conflict of interest: The authors disclose no conflicts of interest. (Copyright © 2024, Otology & Neurotology, Inc.) |
| Databáze: | MEDLINE |
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