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- W4366351372 abstract "Dear Editor The article “Silencing pulsatile tinnitus: A novel technique of periosteal flap obliteration for sigmoid sinus diverticulum variants” presented by Chua et al. (1) causes us grave concerns. The message in the article is misleading the otology community. If this issue is not explained properly to the community, we may end up in another epidemic of ineffectual operations, such as we saw during early days of endoscopic sinus surgery where almost every maxillary sinus cyst or ethmoidal thickening was misrepresented as the cause of facial pain. Recently, we went through this with balloon sinuplasties. As an otological community, it is intolerable that we allow this to happen again with “sigmoid sinus wall defects.” Covering the sigmoid sinuses with cement in an already elevated intracranial pressure status may lead into a very severe intracranial hypertension, which may lead into blindness or even to sudden death. Dural stents were developed to restore intradural venous flow, which in turn will lower the intracranial pressure. When pressure is down, the flow from the dural venous sinuses will be less and the patient will not hear the whooshing sound. Perhaps before scheduling a patient for any surgery for sigmoid wall defects, we do the responsible thing and measure the lumbar opening pressure and try medical treatment to lower the pressure. Bulent Mamikoglu, M.D.Department of OtolaryngologyUniversity of Rochester Medical CenterRochesterNew YorkDepartment of NeurosurgeryUniversity of Illinois Peoria Medical SchoolChicagoIllinois[email protected]Jessica E. WilsonDepartment of OtolaryngologyUniversity of Rochester Medical CenterRochesterNew YorkOktay Algın, M.D.Department of RadiologyŞehir Hastanesi (City Hospital)AnkaraTurkeyNeuroimaging SciencesYıldırım Beyazıt University and Bilkent UniversityAnkaraTurkey" @default.
- W4366351372 created "2023-04-21" @default.
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- W4366351372 date "2023-04-16" @default.
- W4366351372 modified "2023-10-15" @default.
- W4366351372 title "CEMENTING SIGMOID SINUS MIGHT LEAD TO BLINDNESS OR DEATH" @default.
- W4366351372 cites W4318930764 @default.
- W4366351372 doi "https://doi.org/10.1097/mao.0000000000003870" @default.
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