{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:36Z","timestamp":1786978176026,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T00:00:00Z","timestamp":1715904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS\u20102023\u201000253371"],"award-info":[{"award-number":["RS\u20102023\u201000253371"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sigmoid sinus diverticulum\/dehiscence (SSD) is one of the treatable causes of venous pulsatile tinnitus. It can be diagnosed using temporal bone computed tomography (CT) or magnetic resonance angiography\/venography (MRA). In cases where patients find their symptoms intolerable, surgical treatment is typically preferred. Here, we have presented a novel surgical technique involving sigmoid sinus re\u2010roofing and have analyzed its feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2020 and July 2023, approximately 150 patients with pulsatile tinnitus were evaluated at two different tertiary hospitals. Of these, 12 patients were diagnosed with SSD, and seven underwent surgical treatment. Five patients were treated with tailored reroofing (TRR) of the sigmoid sinus and two with transmastoid resurfacing (MRS) of the sigmoid sinus. We compared the Korean tinnitus handicap inventory (K\u2010THI) score, pure tone audiogram (PTA) threshold, and CT findings before and a month after surgeries for these two techniques. The operation time was also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In TRR cases, the K\u2010THI score reduced from 55.0\u2009\u00b1\u200931.4 preoperatively to 4.0\u2009\u00b1\u20093.0 postoperatively, and the SSD was well\u2010repositioned and covered by a bone chip postoperatively. In MRS cases, the K\u2010THI score reduced from 41.0\u2009\u00b1\u20099.9 preoperatively to 15.0\u2009\u00b1\u200921.2 postoperatively, and the SSD was well\u2010covered with bone cement postoperatively. The average surgical time of five TRR and two MRS cases were 77.5\u2009\u00b1\u200932.5 and 174.0\u2009\u00b1\u200975.0\u2009min, respectively. No complications were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the insufficient number of cases, we noted that TRR requires a reasonable amount of time, involves a smaller incision, and may provide favorable outcomes compared to conventional MRS in cases of pulsatile tinnitus associated with SSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.1251","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T06:15:04Z","timestamp":1715926504000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Tailored re\u2010roofing technique for pulsatile tinnitus caused by sigmoid sinus dehiscence or diverticulum"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6127-0536","authenticated-orcid":false,"given":"Jeong Gum","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Na","sequence":"additional","affiliation":[{"name":"Yonsei\u2010Sol Otorhinolaryngology Clinic  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Kyun","family":"Hur","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ji Min","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung Min","family":"Kwak","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn Jin","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head &amp; Neck Surgery Catholic Kwandong University  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minbum","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head &amp; Neck Surgery Catholic Kwandong University  Incheon Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3951-5074","authenticated-orcid":false,"given":"In Seok","family":"Moon","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Severance Hospital, Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"905","article-title":"Pulsatile tinnitus associated with a laterally placed sigmoid sinus","volume":"16","author":"Mehall CJ","year":"1995","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1531-8249(200010)48:4<669::AID-ANA16>3.0.CO;2-6"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2004.100.1.0120"},{"key":"e_1_2_10_5_1","first-page":"734","article-title":"A case of pulsatile tinnitus by sigmoid sinus diverticulum","volume":"51","author":"Son WR","year":"2008","journal-title":"Korean J Otorhinolaryngol\u2010Head Neck Surg"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182a4756c"},{"key":"e_1_2_10_7_1","first-page":"328","article-title":"Reliability and validity of a Korean adaptation of the tinnitus handicap inventory","volume":"45","author":"Kim JH","year":"2002","journal-title":"Korean J Otolaryngol"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2015.8.3.198"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31822a1c7d"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2021.02.022"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000187"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001612"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3171\/2015.6.JNS15961"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489420987407"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2022.10.001"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0000000000000902"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13493"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.1251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T06:40:08Z","timestamp":1719211208000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.1251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,17]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/lio2.1251"],"URL":"https:\/\/doi.org\/10.1002\/lio2.1251","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,17]]},"assertion":[{"value":"2023-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-09","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1251"}}