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Clipping of sigmoid sinus diverticulum: how I do it
F Hassannia1, S D Carr1, G-M Busato1
1Otology/Neurotology,University Health Network,Toronto,Canada.
The Journal of Laryngology and Otology
|August 7, 2018
Summary
Transmastoid clipping effectively treated pulsatile tinnitus caused by sigmoid sinus diverticulum in two patients. This surgical approach offers a safe and successful resolution for this specific type of tinnitus.
Area of Science:
- Neurosurgery
- Otolaryngology
- Vascular Surgery
Background:
- Pulsatile tinnitus can significantly impact quality of life.
- Sigmoid sinus diverticulum is an uncommon but recognized cause of pulsatile tinnitus.
- Surgical management options for sigmoid sinus diverticulum causing tinnitus are limited.
Purpose of the Study:
- To present two cases of transmastoid clipping for sigmoid sinus diverticulum.
- To evaluate the efficacy and safety of this surgical technique.
Main Methods:
- Two patients with pulsatile tinnitus underwent transmastoid clipping.
- The sigmoid sinus diverticulum was clipped at its neck.
- Intra-operative Doppler ultrasonography was used to guide the procedure.
Main Results:
- Both patients experienced complete resolution of pulsatile tinnitus.
- Follow-up at six months showed no complications.
- The transmastoid clipping procedure was technically successful in both cases.
Conclusions:
- Transmastoid clipping is a safe and effective treatment for pulsatile tinnitus secondary to sigmoid sinus diverticulum.
- This minimally invasive approach offers a viable surgical solution.
- Further studies may confirm the long-term efficacy of this intervention.
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