bestadmom wrote:Dr. Sclafani ligated his wife's ijv to stop tinnitus. He said we only need one working ijv. That was one of his reasons, when we first spoke a year ago, he thought the liberation procedure was unnecessary. We all know how quickly he changed his mind after seeing stenosis and reflux in every one of the MS patients he treated.
KDGO wrote:Just curious if after he ligated did the tinnitus stop do you know? Can you elaborate on what you mean by "unnecessary" and "changed his mind"?
J Vasc Surg. 1987 Sep;6(3):248-51.
Tinnitus originating from an abnormal jugular bulb: treatment by jugular vein ligation.
Golueke PJ, Panetta T, Sclafani S, Varughese G.
Tinnitus and hearing loss can occur in patients with a high-riding abnormal jugular bulb. Jugular vein ligation in selected patients can cure tinnitus and reverse hearing loss. A 39-year-old woman reported a 4-year history of right-sided tinnitus of increasing intensity associated with a mild hearing loss. Extensive evaluation revealed only an enlarged right jugular bulb with dehiscence of the normal petrous bony septum between the bulb and the middle ear. The patient underwent ligation of the right internal jugular vein and noted immediate cessation of tinnitus and the return of normal hearing. Review of the literature suggests that jugular vein ligation is appropriate in selected cases of venous tinnitus.
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