Department of Otorhinolaryngology-Head and Neck Surgery, Sengkang General Hospital, Singapore.
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul St Mary's Hospital, Seoul, Republic of Korea.
Otol Neurotol. 2023 Mar 1;44(3):246-251. doi: 10.1097/MAO.0000000000003804. Epub 2023 Jan 12.
Review of a sigmoid sinus diverticuli (SSDi) variants surgically managed with a novel technique using an inferior periosteal flap.
Case series.
Tertiary referral center.
Patients presenting with pulsatile tinnitus to a tertiary referral center between January 1, 2015, and June 31, 2021, who were diagnosed with SSDi variants on CT temporal bone and who received surgical management for these SSDi variants.
Obliteration of SSDi variants using a novel technique with an inferiorly based periosteal flap.
Pure-tone audiometry, Tinnitus Handicap Inventory score, and visual analogue scale score for tinnitus severity (loudness, awareness, annoyance, and effect on life).
Include statistical measures as appropriate.
We would like to propose the use of an inferiorly based periosteal flap as an option for obliteration and concomitant hemostasis of more sizeable or complex (e.g., bifid) SSDi. Further study of this technique with a long-term follow-up will be needed to evaluate its long-term safety and efficacy.
回顾使用一种新型技术（使用下骨膜瓣）手术治疗的乙状窦憩室（SSDi）变异病例。
病例系列研究。
三级转诊中心。
2015 年 1 月 1 日至 2021 年 6 月 31 日期间因搏动性耳鸣就诊于三级转诊中心的患者，在 CT 颞骨上诊断为 SSDi 变异，并接受这些 SSDi 变异的手术治疗。
使用新型技术（以下骨膜瓣为基础）闭塞 SSDi 变异。
纯音听阈，耳鸣残疾量表评分和耳鸣严重程度的视觉模拟量表评分（响度、意识、烦恼和对生活的影响）。
包括适当的统计措施。
我们建议使用以下骨膜瓣作为闭塞和同时止血更大或更复杂（例如，分叉）SSDi 的一种选择。需要进一步研究这种技术，并进行长期随访，以评估其长期安全性和疗效。
