Ward P H, Babin R, Calcaterra T C, Konrad H R
Ann Otol Rhinol Laryngol. 1975 Jul-Aug;84(4 Pt 1):473-82. doi: 10.1177/000348947508400405.
This article discusses the importance of the elevation and diagnosis of objective tinnitus (tinnitus heard by the patient and the physician). Intracranial arteriovenous communications and vascular anomalies are most frequently responsible for the tinnitus and auscultable bruits and are highly amenable to current surgical treatment. While the otolaryngologists may initially see these patients and be responsible for the diagnosis of their problem, the surgical correction of the intracranial lesions is usually the province of the neurosurgeon. Illustrative cases of extracranial causes are presented. Particular emphasis is placed on the diagnosis and treatment of venous hum. Formerly called cephalic bruit and essential objective tinnitus, venous hum is now a recognized nosological entity that is amenable to treatment by ligation of the internal jugular vein.
本文讨论了客观性耳鸣（患者和医生都能听到的耳鸣）的诊断及相关问题。颅内动静脉交通和血管异常是导致耳鸣和可闻及血管杂音的最常见原因，并且目前的手术治疗对此类病症疗效显著。虽然耳鼻喉科医生最初可能会接诊这些患者并负责诊断其问题，但颅内病变的手术矫正通常由神经外科医生负责。文中还列举了颅外病因的实例。特别强调了静脉嗡鸣声的诊断和治疗。静脉嗡鸣声以前称为头部杂音和原发性客观性耳鸣，现在是一种公认的疾病实体，可通过结扎颈内静脉进行治疗。
