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Tinnitus

Management of venous pulsatile tinnitus with normal otoscopic findings

September 21, 2015  |  Lei Jin, MD; Yucheng Wang, PhD

Abstract

We conducted a retrospective study to analyze the therapeutic effects of ligation of the internal jugular vein in a series of adults with pulsatile tinnitus of venous origin. Our study group was made up of 12 patients-all women, aged 27 to 61 years (mean: 40 ± 6.1)-who had been...

Metastatic breast carcinoma presenting as unilateral pulsatile tinnitus: A case report

February 2, 2015  |  Andrew Moore, MRCS, DOHNS; Max Cunnane, BMBS, BMedSci; Jason C. Fleming, MRCS, DOHNS, MEd

Abstract

Pulsatile tinnitus is a rare symptom, yet it may herald life-threatening pathology in the absence of other symptoms or signs. Pulsatile tinnitus tends to imply a vascular cause, but metastatic disease also can present in this way. Clinicians should therefore adopt a specific...

Spontaneous bilateral dural arteriovenous fistulas with pulsatile tinnitus

January 19, 2015  |  Tzu-Chieh Lin, MD; Hsiung-Kwang Chung, MD; Jeng-Nan Hsu, MD

Abstract

Pulsatile tinnitus with normal otoscopic findings often presents a diagnostic challenge to otolaryngologists and can be attributed to serious vascular malformations such as dural arteriovenous fistulas (DAVFs). Spontaneous DAVFs are relatively rare. A 65-year-old woman...

Effect of low-level laser therapy in the treatment of cochlear tinnitus: A double-blind, placebo-controlled study

January 19, 2015  |  Mahboobeh Adami Dehkordi, MD; Sasan Einolghozati, MD; Seyyed Mohsen Ghasemi, PhD; Samaneh Abolbashari, MD; Mojtaba Meshkat, MSc; Hadi Behzad, MSc

Abstract

Many treatments for chronic tinnitus have been attempted, but the condition remains difficult to cure, especially in the case of cochlear tinnitus. We conducted a prospective, double-blind, placebo-controlled study to assess the effect of low-dose laser therapy on chronic...

Tympanic membrane perforation with squamous epithelial ingrowth

August 28, 2014  |  Danielle M. Blake, BA; Alejandro Vazquez, MD; Senja Tomovic, MD; Robert W. Jyung, MD

The squamous epithelium of the tympanic membrane and external auditory canal exhibits an inherent migration pattern to facilitate the exfoliation of keratinizing squamous cells as part of a natural cleansing mechanism.

Tympanic paraganglioma

May 8, 2014  |  Danielle M. Blake, BA; Senja Tomovic, MD; Robert W. Jyung, MD

Patients classically present with pulsatile tinnitus and a red mass medial to the tympanic membrane. Some patients may have findings of a red mass that blanches with pneumatic otoscopy, called Brown's sign.

How to approach a bilobed petrous apex granuloma: A case report

January 21, 2014  |  Aaron G. Benson, MD

Abstract

Cholesterol granulomas are the most common lesions involving the petrous apex. However, they are still an uncommon finding overall, and they often remain undiagnosed until they have become extremely large and symptomatic. Many surgical approaches to the petrous apex exist....

Dehiscence of the high jugular bulb

October 24, 2013  |  Min-Tsan Shu, MD; Yu-Chun Chen, MD; Cheng-Chien Yang, MD; Kang-Chao Wu, MD

The conservative treatment for a high jugular bulb is regular follow-up with serial imaging studies to detect possible progression, even in asymptomatic cases.

Paraganglioma presenting as cholesterol granuloma of the petrous apex

September 19, 2013  |  Selena E. Heman-Ackah, MD, MBA; Tina C. Huang, MD

Abstract

We report the unique finding of a petrous apex cholesterol granuloma associated with a paraganglioma, also known as a glomus jugulare tumor, in a 52-year-old woman who presented to our department with pulsatile tinnitus, hearing loss, aural fullness, and disequilibrium....

Intraoperative view of a glomus tympanicum

December 31, 2012  |  Waitsz T. Chang, MRCS; Willis S.S. Tsang, FRCSEd(ORL)

For the treatment of a small glomus tympanicum, surgical excision via an anterior tympanotomy approach is possible.

An unusual cause of vertigo, tinnitus, and hyperacusis: Vogt-Koyanagi-Harada syndrome

December 31, 2012  |  LT Philip Gaudreau, MD; LCDR Justin Moy, MD; Fred Lindsay, DO

Abstract

We describe the case of a 36-year-old woman with a history of vitiligo who presented with an insidious onset of neurologic, vestibular, ocular, and auditory symptoms. She had recently noted the onset of vertigo, tinnitus, and hypersensitivity to sound. Findings on...

Efficacy of gabapentin on subjective idiopathic tinnitus: A randomized, double-blind, placebo-controlled trial

April 1, 2011  |  Mahboobeh Adami Dehkordi, MD, Samaneh Abolbashari, MD, Reza Taheri, MD, and Sasan Einolghozati, MD

Abstract

Tinnitus can cause extreme morbidity. Despite many attempts to find a treatment for idiopathic cases, they remain difficult to manage. Because nerve injury is one of the suspected etiologies of tinnitus and because gabapentin has been found to be effective in treating nerve...

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