乙状窦憩室致搏动性耳鸣2例并文献复习

赵海亮; 刘漪; 杨媛媛; 曾宪海; 李娟娟; 邱书奇; 张志钢

doi:10.13201/j.issn.1001-1781.2013.19.016

乙状窦憩室致搏动性耳鸣2例并文献复习

- 1 深圳市龙岗中心医院耳鼻咽喉科医院(广东深圳, 518116);
- 2 中山大学孙逸仙纪念医院耳鼻咽喉-头颈外科

详细信息

通讯作者: 张志钢,E-mail:zhangzz0369@126.com

中图分类号: R764.45

收稿日期: 2013-03-04

2 cases of pulsatile tinnitus caused by sigmoid sinus diverticulum and literature review

- 1 Department of Otolaryngology Head and Neck Surgery, Longgang Certral Hospital, Shenzhen, 518116, China;
- 2 Department of Otolaryngology Head and Neck Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

More Information

Corresponding author: ZHANG Zhigang, E-mail: zhangzz0369@126.com

Received Date: 04 March 2013

摘要

摘要: 目的:探讨乙状窦憩室致搏动性耳鸣的解剖学、影像学特点以及手术治疗效果。目的: 回顾性分析2例乙状窦憩室致搏动性耳鸣患者的诊断、临床及影像学表现、治疗及预后。结果:2例患者均有单侧的乙状窦骨壁局部骨质缺损,均发生于前壁,其中1例乙状窦软组织疝入乳突气房。2例患者均进行乙状窦壁重建术。术后症状基本完全缓解无复发。结论:乙状窦局部骨质缺损或乙状窦憩室形成是形成搏动性耳鸣的原因之一,影像检查可以明确诊断。手术行乙状窦壁重建可得到满意的治疗效果。
- 搏动性耳鸣 /
- 乙状窦憩室 /
- 血管栓塞 /
- 乙状窦壁重建
Abstract: Objective: To describe the anatomy,radiographic manifestation, and surgical treatment of pulsatile tinnitus due to sigmoid sinus diverticulum.Method: The retrospectively study of diagnosis,clinical and radiographic manifestations,and surgical treatment of 2 cases of pulsatile tinnitus caused by sigmoid sinus diverticulum was carried out.Result: Bony defect was found in the anterior sigmoid wall in both cases, and one of them was combined with invasion of soft tissues in mastoid cells. Both of them undertook a surgery to reconstruct sinus wall and received a satisfactory results. Conclution: Sigmoid sinus diverticulum is one of causes which lead to pulsatile tinnitus. It can be identified by imaging examination and can be cured by sinus wall reconstruction.
- pulsetile tinnitus /
- sigmoid sinus diverticulum /
- vascular embolization /
- sinus wall reconstruction

HTML全文

参考文献(5)

[1]	侯志强,韩东一. 静脉源性搏动性耳鸣[J].听力学及言语疾病杂志,2011(6):573-575.
[2]	孟照莉,赵宇,郑芸,等. 乙状窦憩室致搏动性耳鸣手术治疗一例[J]. 中华耳鼻咽喉头颈外科杂志,2010,45(6):511-512.
[3]	梁熙虹,王振常,龚树生,等. 乙状窦沟异常致搏动性耳鸣的影像分析[J]. 中华放射学杂志,2010,44(4):361-364.
[4]	EISENMAN D J. Sinus wall reconstruction for sigmoid sinus diverticulum and dehiscence:a standardized surgical procedure for a range of radiographic findings[J]. Otol Neurotol,2011,32:1116-1119.
[5]	郭健,王振常,鲜军鲂,等. 乙状窦憩室引起搏动性耳鸣的CT血管造影诊断[J]. 中国耳鼻咽喉头颈外科,2011(4):178-180.