Sigmoid sinus wall reconstruction for venous pulsatile tinnitus: pooled outcomes
Record details
- Authors: Sathya A, et al. (SR); Ahanotu AE, et al. (long-term cohort)
- Journal / source: Interventional Neuroradiology / Otology & Neurotology (2024)
- Design: Systematic review of case series + long-term single-center cohort (no RCTs)
- Sample: SR: 105 patients/107 diverticula (surgical); cohort: 35 patients/37 ears
- Primary endpoint: Resolution of pulsatile tinnitus
- Randomized: No · Sham/placebo-controlled: No · Independent of the manufacturer: Yes
What this research found
Surgical complete resolution 77.6% (incomplete 11.2%; significant complications 9.3%) across pooled series; long-term cohort: 97.3% short-term success, 83.8% at 5+ years, 13.5% recurrence, new intracranial-hypertension diagnoses in 8.6%. A stricter-criteria critical review puts complete elimination at 64.9% in one cohort.
All evidence is uncontrolled surgical series — resolution rates depend heavily on how 'resolution' is defined. Comparative SR: endovascular treatment of the same lesions resolved 27/27 with fewer complications (3.7%). Key risks: intracranial hypertension/papilledema, recurrence, need for subsequent stenting.
Limitations and conflicts of interest
No randomized or controlled data; outcome definitions vary; single-center cohorts.
Funding / conflicts: Independent (academic surgical series).
Primary sources
Used as evidence for
This is an original summary from the Tinnitus Evidence verified database, checked against the primary source — not a reproduction of the publisher's abstract.