Clipping of sigmoid sinus diverticulum: how I do it

J Laryngol Otol. 2018 Sep;132(9):837-839. doi: 10.1017/S0022215118001287. Epub 2018 Aug 6.

Abstract

Objective: To report two cases of transmastoid clipping of a sigmoid sinus diverticulum.

Methods: Two patients with pulsatile tinnitus resulting from a sigmoid sinus diverticulum underwent clipping at the diverticulum neck using intra-operative Doppler ultrasonography.

Results: At six months' follow up, both patients reported complete resolution of pulsatile tinnitus with no complications.

Conclusion: Transmastoid clipping of a sigmoid sinus diverticulum can be a safe and effective method of managing pulsatile tinnitus resulting from a sigmoid sinus diverticulum.

Keywords: Clip; Cranial Sinuses; Diverticulum; Tinnitus.

MeSH terms

  • Aftercare
  • Cranial Sinuses / diagnostic imaging
  • Cranial Sinuses / pathology
  • Cranial Sinuses / surgery*
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging
  • Diverticulum / pathology*
  • Diverticulum / surgery
  • Humans
  • Intraoperative Care / instrumentation
  • Mastoid / surgery*
  • Preoperative Period
  • Surgical Instruments / standards*
  • Tinnitus / etiology
  • Tinnitus / surgery*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome
  • Ultrasonography, Doppler / methods