Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients w...Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients with PT in our hospital from 2012 to 2019 were collected and retrospectively analyzed.Results All 45 patients had vascular anatomical abnormalities.The patients were divided into 10 categories according to the different locations of vascular abnormalities:sigmoid sinus diverticulum(SSD),sigmoid sinus wall dehiscence(SSWD),SSWD with high jugular bulb,pure dilated mastoid emissary vein,aberrant internal carotid artery(ICA)in the middle ear,transverse-sigmoid sinus(TSS)transition stenosis,TSS transition stenosis with SSD,persistent occipital sinus stenosis,petrous segment stenosis of ICA,and dural arteriovenous fistula.All patients complained of PT synchronous with heartbeat rhythm.Endovascular interventional therapy and extravascular open surgery were used according to the location of the vascular lesions.Tinnitus disappeared in 41 patients,was significantly relieved in 3 patients,and was unchanged in 1 patient postoperatively.Except for one patient with transient headache postoperatively,no obvious complications occurred.Conclusion PT caused by vascular anatomy abnormalities can be identified by detailed medical history and physical and imaging examination.PT can be relieved or even completely alleviated after appropriate surgical treatments.展开更多
牙齿数目异常是口腔常见疾病,可表现为牙齿数目过多(多生牙)和牙齿数目不足(先天缺牙),2种情况可单独发生,也可在同一个体中同时发生。Camilleri将这种既有多生牙又先天缺牙的疾病称为少牙多牙症(comcomitant hypodontia and hyperdonti...牙齿数目异常是口腔常见疾病,可表现为牙齿数目过多(多生牙)和牙齿数目不足(先天缺牙),2种情况可单独发生,也可在同一个体中同时发生。Camilleri将这种既有多生牙又先天缺牙的疾病称为少牙多牙症(comcomitant hypodontia and hyperdontia,CHH),CHH是一种较为少见的疾病。目前病因不明确,患病率差异较大,男性发病率高于女性。可伴发多种综合征和其他牙齿异常等。目前关于CHH的研究多以病例报道为主,本文综合国内外的相关研究,对其病因、临床表现、诊断、影响和治疗原则作一综述。展开更多
基金supported by the Medical Science and Technology Project of Zhejiang Province(No.2019KY584)Traditional Chinese Medicine Science and Technology Project of Zhejiang Province(No.2023ZL648).
文摘Objective To investigate the etiology,clinical characteristics,diagnosis,and treatment strategies and efficacy of pulsatile tinnitus(PT)caused by vascular anatomy abnormality.Methods The clinical data of 45 patients with PT in our hospital from 2012 to 2019 were collected and retrospectively analyzed.Results All 45 patients had vascular anatomical abnormalities.The patients were divided into 10 categories according to the different locations of vascular abnormalities:sigmoid sinus diverticulum(SSD),sigmoid sinus wall dehiscence(SSWD),SSWD with high jugular bulb,pure dilated mastoid emissary vein,aberrant internal carotid artery(ICA)in the middle ear,transverse-sigmoid sinus(TSS)transition stenosis,TSS transition stenosis with SSD,persistent occipital sinus stenosis,petrous segment stenosis of ICA,and dural arteriovenous fistula.All patients complained of PT synchronous with heartbeat rhythm.Endovascular interventional therapy and extravascular open surgery were used according to the location of the vascular lesions.Tinnitus disappeared in 41 patients,was significantly relieved in 3 patients,and was unchanged in 1 patient postoperatively.Except for one patient with transient headache postoperatively,no obvious complications occurred.Conclusion PT caused by vascular anatomy abnormalities can be identified by detailed medical history and physical and imaging examination.PT can be relieved or even completely alleviated after appropriate surgical treatments.
文摘牙齿数目异常是口腔常见疾病,可表现为牙齿数目过多(多生牙)和牙齿数目不足(先天缺牙),2种情况可单独发生,也可在同一个体中同时发生。Camilleri将这种既有多生牙又先天缺牙的疾病称为少牙多牙症(comcomitant hypodontia and hyperdontia,CHH),CHH是一种较为少见的疾病。目前病因不明确,患病率差异较大,男性发病率高于女性。可伴发多种综合征和其他牙齿异常等。目前关于CHH的研究多以病例报道为主,本文综合国内外的相关研究,对其病因、临床表现、诊断、影响和治疗原则作一综述。
