Endoscopic Treatment of Pulsatile Tinnitus Related to High Jugular Bulb
ZHANG Yage
LI Shuo
XING Peimei
LI Yi
Abstract：Objective To report outcomes of minimally invasive endoscopy in the treatment of jugular bulb relat-ed pulsatile tinnitus.Methods Data from cases of jugular vein-derived pulsating tinnitus admitted from January 2018 to January 2021(n=11)were retrospectively analyzed,including clinical symptoms,physical signs,auxiliary tests and post-operative improvements.Based on the particular type of potential etiology,jugular bulb wall reinforcement,jugular bulb wall reconstruction,or jugular bulb diverticulum reduction+reconstruction was performed via an endoscopic transme-atal approach,respectively.Results Upon waking up from anesthesia,tinnitus disappeared in 9 patients,and reduced in 2 patients'with residual low-pitched humming that disappeared with drug treatments.No recurrence was reported at 1,3 and 6 months follow ups.Conclusion Otoscopic surgery is effective in the treatment of jugular spheroid wall defects re-lated pulsating tinnitus with advantages of minimal invasiveness and speedy recovery,and can be a clinically viable treat-ment option.
Keywords：jugular spherical diverticulumjugular spherical wall defectthin jugular spherical bone wallear oto-scopegeneral anesthesia
Publication Date：2024-08-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 612-616 )