College of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Chinese PLA Medical School, Beijing, China.
National Clinical Research Center for Otolaryngologic Diseases, Beijing, China.
Acta Otolaryngol. 2021 Mar;141(3):242-249. doi: 10.1080/00016489.2020.1859612. Epub 2021 Jan 5.
Surgical intervention can effectively treat venous pulsatile tinnitus.
AIM/OBJECTIVES: To assess the effectiveness of treating of venous pulsatile tinnitus (VPT) by compression reconstruction of sigmoid sinus (SSCR) under local anesthesia.
This study retrospectively reviewed 41 patients with VPT in our otolaryngology department between September 2009 and February 2019. Under local anesthesia, all patients were received SSCR. Pre- and postoperative Tinnitus Handicap Inventory (THI) degree and scores were used to evaluate the efficacy of SSCR for VPT.
Of the 41 patients, 36 patients were followed up from 9 months to 8 years and 5 patients were lost to follow-up and were excluded from the data analysis. SSCR was clinically effective in 86% of patients with complete disappearance in 18 patients (50%), partial remission in 10 patients (28%), slight alleviation in 3 patients (8%), and no change in 5 patients (14%). The pre- and postoperative THI degree and scores were significantly different ( .001 and = .002, respectively).
SSCR under local anesthesia is effective for treating patients with VPT. It is critical to perform a rigorous pre-operative clinical and radiological evaluation to reduce intra- and postoperative complications.
手术干预可有效治疗静脉性搏动性耳鸣。
目的/目标：评估局部麻醉下乙状窦压缩重建（SSCR）治疗静脉性搏动性耳鸣（VPT）的效果。
本研究回顾性分析了 2009 年 9 月至 2019 年 2 月期间在耳鼻喉科就诊的 41 例 VPT 患者。所有患者均在局部麻醉下接受 SSCR。术前和术后耳鸣残疾量表（THI）程度和评分用于评估 SSCR 治疗 VPT 的效果。
41 例患者中，36 例获得了 9 个月至 8 年的随访，5 例失访并被排除在数据分析之外。SSCR 对 86%的患者有效，18 例（50%）完全缓解，10 例（28%）部分缓解，3 例（8%）略有缓解，5 例（14%）无变化。术前和术后 THI 程度和评分均有显著差异（<.001 和 = .002）。
局部麻醉下的 SSCR 治疗 VPT 有效。对患者进行严格的术前临床和影像学评估对于减少围手术期并发症至关重要。
