Bilateral carotid endarterectomy as treatment of vascular pulsatile tinnitus.
Atherosclerotic carotid artery disease (ACAD) is a rare but recognized cause of pulsatile tinnitus. Existing literature of reported cure for pulsatile tinnitus is reviewed. We found: (1) a male preponderance exists; (2) ipsilateral carotid endarterectomy (CEA) for tinnitus is 92% (12 of 13) effective; (3) proximal lesions lend themselves to CEA whereas distal lesions have been treated by stenting; (4) overall 68% (15 of 22) are cured by intervention; and (5) 89% (17 of 19) can expect immediate relief. We now present a case of bilateral pulsatile tinnitus relieved by bilateral carotid endarterectomy.
Singh
Devinder P
DP
Division of Plastic Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, MD 21201, USA.
Forte
Antonio J V
AJ
Brewer
Michael B
MB
Nowygrod
Roman
R
D000368:Aged; D000369:Aged, 80 and over; D002340:Carotid Artery Diseases / Q000150:complications*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008297:Male; D014012:Tinnitus / Q000209:etiology / Q000601:surgery*