Golueke P J, Panetta T, Sclafani S, Varughese G
J Vasc Surg. 1987 Sep;6(3):248-51. doi: 10.1067/mva.1987.avs0060248.
Tinnitus and hearing loss can occur in patients with a high-riding abnormal jugular bulb. Jugular vein ligation in selected patients can cure tinnitus and reverse hearing loss. A 39-year-old woman reported a 4-year history of right-sided tinnitus of increasing intensity associated with a mild hearing loss. Extensive evaluation revealed only an enlarged right jugular bulb with dehiscence of the normal petrous bony septum between the bulb and the middle ear. The patient underwent ligation of the right internal jugular vein and noted immediate cessation of tinnitus and the return of normal hearing. Review of the literature suggests that jugular vein ligation is appropriate in selected cases of venous tinnitus.
高位异常颈静脉球的患者可能会出现耳鸣和听力损失。对部分患者进行颈静脉结扎可治愈耳鸣并逆转听力损失。一名39岁女性报告有4年右侧耳鸣病史，强度逐渐增加，伴有轻度听力损失。全面评估仅发现右侧颈静脉球增大，球部与中耳之间的正常岩骨间隔裂开。该患者接受了右侧颈内静脉结扎术，术后耳鸣立即停止，听力恢复正常。文献回顾表明，在某些静脉性耳鸣病例中，颈静脉结扎是合适的。
