Sigmoid sinus diverticulum: a new surgical approach to the correction of pulsatile tinni- tus. Otol Neurotol. 2007 Jan;28(1):48-53. Otto KJ, Hudgins PA, Abdelkafy W, Mattox DE Department of Otolaryngology, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
Objective: Tinnitus represents a bothersome symptom not infrequently encountered in an otology practice. Tinnitus can be the harbinger of identifiable middle or inner ear abnormality; but more frequent- ly, tinnitus stands alone as a subjective symptom with no easy treatment. When a patient complains of tinnitus that is pulsatile in nature, a thorough workup is indicated to rule out vascular abnormality. We report of a new diagnostic finding and method of surgical correction for select patients with pulsatile tinnitus. Study design: Retrospective case series. Setting: Tertiary care, academic referral center. Patients: Among patients seen for complaints of unilateral or bilateral pulsatile tinnitus, five were identi- fied with diverticula of the sigmoid sinus. All patients had normal in-office otoscopic, tympanometric, and audiometric evaluations. Patients with paragangliomas or benign intracranial hypertension were exclu- ded. Auscultation of the pinna or mastoid revealed an audible bruit in most patients. All patients under- went computed tomographic angiography of the temporal bone. In all cases, this finding was on the side coincident with the tinnitus. Intervention: Three of five patients underwent transmastoid reconstruction of the sigmoid sinus. Main outcome messure: Patients were evaluated clinically for presence or absence of pulsatile tinnitus after reconstructive surgery. Results: All patients electing surgical reconstruction had immediate and lasting resolution of the tinnitus. Conclusion: Surgical reconstruction can provide lasting symptom relief for patients with pulsatile tinnitus and computed tomographic evidence of a sigmoid sinus diverticulum.
The extent and levels of tinnitus in children of central Ankara. Int J Pediatr Otorhinolaryngol. 2007 Feb;71(2):263-8. Epub 2006 Nov 28. Aksoy S, Akdogan O, Gedikli Y, Belgin E Department of Otorhinolaryngology, Head and Neck Surgery, Section of Audiology and Speech Patholo- gy, Hacettepe University Faculty of Medicine, Ankara, Turkey. firstname.lastname@example.org
Objective: The objective of this study is to determine the presence and prevalence of tinnitus among primary school and junior high school students in central Ankara. Methods: In the first stage of the study, all students were tested for the presence of tinnitus by answe- ring a comprehensive questionnaire. The students who had previous ear operations were excluded from the rest of the study. The initial survey/tests yielded presence of tinnitus, frequency of occurrence, cha- racteristics, associated symptoms and the age groups. Results: 15.1% of the children reported to have tinnitus. No significant difference was found between gender (female 45.5%, male 54.4%) and ears (right 25.3%, left 25.5%). The age group that suffered most from tinnitus is 14 years old (20.8%), 25 children had positive family history (16.2%), 44 children had headaches as the most common accompanying symptom (28.6%), 64 of them had tiredness as the predisposing factor (41.6%) and 52 of them have defined worsening of tinnitus during mornings (33.8%). The characteristics of tinnitus were identified as high pitch (n=125, 81.2%), soft loudness (n=124, 80.5%) and ringing (n=61, 39.6%). Conclusions: The study produced much needed data to shed light onto understanding levels and cha- racteristics of tinnitus in school children in Turkey. The data obtained was carefully analyzed and found to be comparative to international studies. back to content