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For PT originating from SS-Div\/SS-Deh, an etiology-specific and secure reconstruction using firm materials is vital for optimal outcomes. As a follow-up to our previous reports on transmastoid SS resurfacing or reshaping for SS-Div\/SS-Deh, this study aimed to evaluate the long-term results of transmastoid resurfacing\/reshaping. We retrospectively reviewed 20 PT patients who were diagnosed with SS-Div\/SS-Deh, underwent transmastoid resurfacing\/reshaping, and were followed up for more than 1\u00a0year postoperatively. For PT, immediate and long-term changes (&gt;\u20091\u00a0year) in loudness and annoyance were analyzed using the visual analog scale (VAS). Additionally, pre and postoperative objective measurements of PT using transcanal sound recording and spectro-temporal analysis (TSR-STA), imaging results, and audiological findings were comprehensively analyzed. Significant improvements in PT were sustained or enhanced for\u2009&gt;\u20091\u00a0year (median follow-up period: 37\u00a0months, range: 12\u201354\u00a0months). On TSR-STA, both peak and root mean square amplitudes decreased after surgery. Also, the average pure-tone threshold at 250\u00a0Hz improved after surgery. Thus, our long-term follow-up data confirmed that the surgical management of PT originating from SS-Div\/SS-Deh is successful with regard to both objective and subjective measures.<\/jats:p>","DOI":"10.1038\/s41598-020-75348-3","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T10:06:00Z","timestamp":1603447560000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Longitudinal analysis of surgical outcome in subjects with pulsatile tinnitus originating from the sigmoid sinus"],"prefix":"10.1038","volume":"10","author":[{"given":"Sang-Yeon","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min-Kyung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Jung","family":"Bae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwang Seok","family":"An","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyogu","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byung Yoon","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ja-Won","family":"Koo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae-Jin","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,23]]},"reference":[{"key":"75348_CR1","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.heares.2017.08.002","volume":"354","author":"S-Y Lee","year":"2017","unstructured":"Lee, S.-Y. et al. 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