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Pulsatile tinnitus cured by mastoidectomy.

Christian Duvillard¹, Michel Ballester, Emmanuel Redon

¹Department of Otolaryngology-Head and Neck Surgery, Hôpital Général, Dijon, France.

The Annals of Otology, Rhinology, and Laryngology

|September 30, 2004

Summary

Venous pulsatile tinnitus, often challenging to treat, can be effectively managed with mastoidectomy in select cases. This surgical approach resolved tinnitus and hearing loss in one patient, offering an alternative to jugular vein ligation.

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Area of Science:

Otolaryngology
Neurosurgery

Background:

Tinnitus of venous origin is a rare condition, accounting for about half of vascular tinnitus cases.
Treatment decisions for venous tinnitus can be complex, even with a confirmed diagnosis.

Observation:

A patient presented with a 5-year history of right-sided venous pulsatile tinnitus and prior ineffective treatments.
Computed tomography revealed filled mastoid cells, prompting consideration of mastoidectomy.

Findings:

Mastoidectomy was performed instead of internal jugular vein ligature.
The patient experienced immediate and sustained resolution of tinnitus over a 2-year follow-up.
Bilateral sensorineural and conductive hearing loss also resolved post-surgery.

Implications:

Related Experiment Videos

Mastoidectomy presents a viable surgical alternative to internal jugular vein ligation for selected patients with venous pulsatile tinnitus.
This case highlights the importance of considering mastoid pathology in refractory venous tinnitus.