Hameed Nazrin, Manogaran Ravi Sankar, Keshri Amit, Singh Vivek, Muraleedharan Manjul, Chidambaram Kalyana Sundaram, Aqib Mohd
Neurotology Unit, Department of Neurosurgery, SGPGIMS, Lucknow, UP India.
Neuroradiology Section, Department of Radiodiagnosis, SGPGIMS, Lucknow, UP India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2082-2087. doi: 10.1007/s12070-023-04410-z. Epub 2023 Dec 8.
Pulsatile tinnitus (PT) is the perception of an auditory sensation without an external source and in synchrony with the heartbeat. One of the most common cases of PT is bony anomalies of the sigmoid sinus, including dehiscence or diverticula. This case report describes a 26-year-old female patient who presented with pulsatile tinnitus caused by sigmoid sinus diverticula and dehiscence, which was successfully treated with cortical mastoidectomy with diverticula closure using pedicled temporalis fascia and resurfacing of the dehiscence with autogenous bone pate along with bone cement. We recommend thorough clinical and radiological workup to rule out other possible causes of PT before surgical intervention. In addition, we would like to highlight the surgical technique using pedicled temporalis fascia that we have used in our patient, which is easily reproducible and offers successful outcomes.
搏动性耳鸣（PT）是指在没有外部声源的情况下，与心跳同步感知到的听觉感觉。PT最常见的病例之一是乙状窦的骨质异常，包括裂开或憩室。本病例报告描述了一名26岁女性患者，她因乙状窦憩室和裂开而出现搏动性耳鸣，通过皮质乳突切除术成功治疗，使用带蒂颞肌筋膜封闭憩室，并使用自体骨块和骨水泥修复裂开处。我们建议在手术干预前进行全面的临床和影像学检查，以排除PT的其他可能原因。此外，我们想强调我们在患者中使用的带蒂颞肌筋膜手术技术，该技术易于重复且效果良好。
