Single-center 10-year experience in treating patients with vascular tinnitus: diagnostic approaches and treatment outcomes

Clinical and Experimental Otorhinolaryngology
Seong-Cheon BaeShi-Nae Park

Abstract

Vascular tinnitus is the most common form of pulsatile tinnitus, particularly when the tinnitus corresponds with the pulse of patients. In this study, we reviewed the 10-year clinical data on vascular tinnitus of our tinnitus clinic to investigate the frequency of the underlying etiologies, to introduce a diagnostic protocol, and to evaluate the treatment outcomes. We retrospectively collected the data of 57 patients who were diagnosed as vascular tinnitus between April 2001 and December 2011. Careful history taking, otoscopy, thorough physical examinations, audiometry, laboratory tests, as well as radiologic examinations were performed according to our diagnostic protocol to find the origin of pulsatile tinnitus. Treatment options were individualized based on the specific etiology, and the outcomes were assessed using patient's subjective reports at the follow-up interviews. High jugular bulb was the most common cause (47.4%) of vascular tinnitus, and venous hum was the next (17.5%). Dural arteriovenous fistula, intracranial aneurysm, atherosclerotic carotid artery disease, and hypertension were less common causes. Vascular tinnitus was alleviated in most patients after the appropriate treatment: surgical intervention, tinnitu...Continue Reading

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Citations

May 8, 2016·Neuroimaging Clinics of North America·Sean Woolen, Joseph J Gemmete
May 8, 2016·Neuroimaging Clinics of North America·David J Eisenman, Taylor B Teplitzky
Jul 6, 2019·The Journal of International Medical Research·Ping GuoWuqing Wang
Dec 19, 2019·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Shi Nae ParkHong Ju Park
Jan 23, 2021·Journal of Clinical Neurology·Byung In HanJi Soo Kim

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