Surgical ligation of A Large Mastoid Emissary Vein in A Patient Complaining of Pulsatile Tinnitus
Autor: | Eun Jung Lee, Su Geun Kim, Ji Hoon Koh, Byeong Jin Kim |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Heartbeat medicine.medical_treatment Case Report Mastoid Tinnitus Audiometry Temporal bone otorhinolaryngologic diseases Humans Medicine Mastoid foramen Sound (medical instrument) business.industry Temporal Bone General Medicine Middle Aged Tympanoplasty lcsh:Otorhinolaryngology lcsh:RF1-547 Surgery medicine.anatomical_structure Otitis Otorhinolaryngology Female medicine.symptom Tomography X-Ray Computed business Ligation |
Zdroj: | Journal of International Advanced Otology, Vol 17, Iss 1, Pp 84-86 (2021) J Int Adv Otol |
ISSN: | 2148-3817 |
Popis: | Pulsatile tinnitus is an uncommon symptom characterized by a perceived sound pulsing like a heartbeat. Here, we report an unusual case of a patient with unilateral pulsatile tinnitus caused by a large, prominent mastoid emissary vein (MEV). A 45-year-old woman presented at our hospital with pulsatile tinnitus. She had persistent tinnitus for 20 years, and her symptoms had worsened in the previous 2 years. She said that she perceived a sound pulsing like a heartbeat. She had some hearing impairment in both the ears for a long time owing to long-term otitis media. The temporal bone computed tomography scan showed a large right jugular bulb, and there was a large MEV canal draining into the right sigmoid sinus. Therefore, we decided to perform a large MEV ligation with the planned right tympanoplasty. On follow-up, the patient’s pulsatile tinnitus improved completely. According to reviews, this is the first reported case of surgical ligation of a large MEV as a treatment for pulsatile tinnitus; therefore, we report this case with a brief literature review. |
Databáze: | OpenAIRE |
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