Otology | Pulsatile Tinnitus | Mr Patrick Axon

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Pulsatile Tinnitus
Mr Patrick Axon
, Consultant ENT Surgeon,
Cambridge University Hospitals NHS Foundation Trust
ENT Grand Rounds, 26th May 2020

Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Otology – Tinnitus; Disorders of balance; Lateral skull base tumours

01:52 – Definitions/types of pulsatile tinnitus, overview and basic principles
05:35 – Abnormal hearing organ hearing a normal sound –
05:53 – Middle ear anatomy and pathology
09:27 – Inner ear anatomy and pathology
13:50 – Normal hearing organ hearing an abnormal sound
15:52 – History, examination and investigation
17:51 – 7 ‘golden rules’
18:56 – Vascular pulsatile tinnitus – investigations
22:33 – Idiopathic intracranial hypertension – symptoms and investigations
24:42 – CSF dynamics and cerebral venous outflow
26:46 – Iatrogenic fulminant intracranial hypertension
28:30 – Ligation of the IJV and IJV dependency
32:19 – Managing vascular pulsatile tinnitus
34:16 – Improving intracranial venous outflow

Questions
42:02 – First imaging investigation CT v MRA
43:03 – Carotid stenosis/IIH and pulsatile tinnitus – onward referral
45:41 – SSCD and pulsatile tinnitus
47:06 – IIH and ophthalmlogy review
48:09 – Common missed diagnoses
49:50 – Patients with somatic pulsatile tinnitus

#pulsatiletinitus
#tinnituscauses
tinnitusrelief
#earringing

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#tinnitus #pusatiletinnitus #earringing #whatistinnitus #howtostoptinnitus

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