Intraoperative Investigation of Vibration and Acoustic Characteristics of Venous Pulsatile Tinnitus Using Confocal Laser Displacement Sensor, Doppler Ultrasonography, and Piezoelectric Film Sensor: A Pilot Study

被引:6
作者
Hsieh, Yue-Lin [1 ,2 ,3 ]
Wang, Wuqing [2 ,3 ]
机构
[1] Fudan Univ, 220 Handan Rd, Shanghai 200433, Peoples R China
[2] Fudan Univ, Dept Otol & Skull Base Surg, Eye Ear Nose & Throat Hosp, 83 Fenyang Rd, Shanghai 200031, Peoples R China
[3] NHC Key Lab Hearing Med, 83 Fenyang Rd, Shanghai 200031, Peoples R China
基金
中国国家自然科学基金;
关键词
pulsatile tinnitus; vibration; sensor; acoustic; water occlusion test; SIGMOID SINUS DIVERTICULUM; DEHISCENCE;
D O I
10.18494/SAM.2021.3284
中图分类号
TH7 [仪器、仪表];
学科分类号
0804 ; 080401 ; 081102 ;
摘要
The vibrations of a thinned sigmoid plate and exposed sinus vessel wall in patients with sigmoid sinus wall anomalies (SSWAs) have long been speculated to be a pivotal cause of venous pulsatile tinnitus (PT). This is the first in vivo study to investigate whether vibrations resulting from SSWAs induce PT using multiple sensor systems. A confocal laser displacement sensor system was intraoperatively deployed to gauge displacements of the focal anatomical structure in 12 subjects with venous PT with or without SSWAs. Doppler ultrasonography was performed to detect the blood flow and psychoacoustic characteristics of PT. Computational fluid dynamics (CFD) and piezoelectric sensors were deployed to assess the relationship between the vessel wall pressure and hemodynamics. The ultrasonographic examination showed that the PT pitch matched the blood flow sampled at the center of the sinus lumen in all subjects and that there was no statistical difference between the displacements of the sigmoid plate and vessel wall before separation, indicating that PT is strongly associated with flow-induced noise rather than vibration-induced noise. In addition, the quantitative water occlusion test can be potentially indicative for the surgical and mechanistic study of PT.
引用
收藏
页码:2013 / 2029
页数:17
相关论文
共 24 条
[1]   Patterns of audiometric threshold shifts from pulsatile tinnitus due to sigmoid sinus wall anomalies [J].
Bhatnagar, Kavita ;
Lataille, Angela T. ;
Eisenman, David J. .
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2020, 41 (06)
[2]   Variational Mode Decomposition [J].
Dragomiretskiy, Konstantin ;
Zosso, Dominique .
IEEE TRANSACTIONS ON SIGNAL PROCESSING, 2014, 62 (03) :531-544
[3]   Evaluation and treatment of pulsatile tinnitus associated with sigmoid sinus wall anomalies [J].
Eisenman, David J. ;
Raghavan, Prashant ;
Hertzano, Ronna ;
Morales, Robert .
LARYNGOSCOPE, 2018, 128 :S1-S13
[4]   Sinus Wall Reconstruction for Sigmoid Sinus Diverticulum and Dehiscence: A Standardized Surgical Procedure for a Range of Radiographic Findings [J].
Eisenman, David Jeffrey .
OTOLOGY & NEUROTOLOGY, 2011, 32 (07) :1116-1119
[5]   Degree of Sigmoid Sinus Compression and the Symptom Relief Using Magnetic Resonance Angiography in Venous Pulsating Tinnitus [J].
Guo, Ping ;
Wang, Wu-Qing .
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, 2015, 8 (02) :111-116
[6]  
HSIEH YL, 2021, AURIS NASUS LARYNX, DOI DOI 10.1016/J.ANL.2021.01.013
[7]   Pulsatile tinnitus caused by an aberrant artery running over the surface of mastoid bone [J].
Hsieh, Yue-Lin ;
Xu, Xiaobing ;
Guo, Ping ;
Wang, Wuqing .
AURIS NASUS LARYNX, 2021, 48 (06) :1181-1188
[8]  
Hsieh YL, 2020, OTOL NEUROTOL, V41, pE132, DOI [10.1097/MA0.0000000000002464, 10.1097/MAO.0000000000002464]
[9]   Transmastoid reshaping of the sigmoid sinus: preliminary study of a novel surgical method to quiet pulsatile tinnitus of an unrecognized vascular origin [J].
Kim, Chong Sun ;
Kim, So Young ;
Choi, Hyunseok ;
Koo, Ja-Won ;
Yoo, Shin-Young ;
An, Gwang Seok ;
Lee, Kyogu ;
Choi, Inyong ;
Song, Jae-Jin .
JOURNAL OF NEUROSURGERY, 2016, 125 (02) :441-449
[10]   Longitudinal analysis of surgical outcome in subjects with pulsatile tinnitus originating from the sigmoid sinus [J].
Lee, Sang-Yeon ;
Kim, Min-Kyung ;
Bae, Yun Jung ;
An, Gwang Seok ;
Lee, Kyogu ;
Choi, Byung Yoon ;
Koo, Ja-Won ;
Song, Jae-Jin .
SCIENTIFIC REPORTS, 2020, 10 (01)