Luchjenbroers, P. (Peter) (2018) Management and diagnostics of pulsatile tinnitus in the UMCG : A retrospective database study. thesis, Medicine.
Full text available on request.Abstract
Introduction: Pulsatile tinnitus is a form of tinnitus, described as hearing a heartbeat in the ear. This can be very invalidating for the patient. For over ten years the UMCG has provided specialized care to tinnitus patients through the tinnitus outpatient department. This research consists of a retrospective database study to identify the management and treatment of these patients. The goal was to improve future care for the patients and furthermore, to identify possible risk factors for developing pulsatile tinnitus. Material & Methods: The UMCG recorded data of all patients coming through the tinnitus outpatient department during the past 10 years. Through database research, 118 pulsatile tinnitus patients were identified for further analysis. For this analysis the standardized tinnitus guideline, developed in 2016, was used as reference. Results: In 76% of the cases the first diagnostic test used was MRI/MRA, followed by CT/CTA (11%). In total 19 patients received a conclusive diagnosis, of which 4 treatable. MRI/MRA proved to be the most viable choice in obtaining a conclusive diagnosis with 10 diagnosis, followed by DSA with 5. Prevalence was twice as high in females, but further possible risk factors were not identified in this research. Discussion: Throughout the years, the UMCG showed to have achieved a uniform approach to pulsatile tinnitus. The greatest limitation was the tertiary setting of this research. This meant that most patients were already diagnosed and treated without ever visiting the tinnitus outpatient department. Only patients with severe complaints were referred to the tinnitus outpatient department. Conclusion: Identifying and treating pulsatile tinnitus remains complicated. Therefore a uniform approach to this problem is crucial. Due to the complicated nature of this problem, future studies should focus on providing a better insight into the risk factors and prevention of pulsatile tinnitus.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Department of Otorhinolaryngology, UMCG and Faculty supervisor: and Hofman, dr. R. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:46 |
| Last Modified: | 25 Jun 2020 10:46 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/737 |
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