Dr. Liu Yuzhi: Hello everyone, I am Dr. Liu Yuzhi. Welcome Dr. Su Yichang to the care line. Dr. Yichang Su: Hello everyone, I am Dr. Yichang Su. Dr. Liu Yuzhi: May I ask Dr. Su, what is pulsatile tinnitus ? Dr. Su Yichang: Tinnitus means that we hear a sound that should not be present in the environment. As for the pulsatile sound, it seems to be synchronized with our pulse. There is a pulse phenomenon, which we call pulsation. Sexual tinnitus. Dr. Yuzhi Liu: What does pulsatile tinnitus sound like? Physician Su Yichang: It feels like a voice. Dr. Yuzhi Liu: Can other people hear the patient's tinnitus? Dr. Su Yichang: Usually, tinnitus can only be heard by oneself, but not by the people next to him. Of course, doctors sometimes use a stethoscope to listen. Through the stethoscope, doctors can hear these pulsating sounds. Dr. Liu Yuzhi: What symptoms may pulsatile tinnitus accompany? Physician Su Yichang: Some patients may find themselves saying that he seems to be pressing down on one side of his throat, or behind his ears. If he presses down, the sound may disappear, but if he releases it, it will come out again. In addition, this kind of sound, Because it may be related to blood flow, it will be there 24 hours a day, so it may not be obvious when the surrounding is noisy, but when it is quieter, especially when sleeping, the sound will be particularly obvious, and some people may even have sleep disturbance. The problem.
Dr. Liu Yuzhi: What might cause pulsatile tinnitus? Dr. Su Yichang: I would describe pulsatile tinnitus as if our ears, in theory, and the blood vessels next to us, there is a wall in the middle, as if the wall has ears, but today if the wall becomes thinner, or the blood flow of the blood vessel next to us increases , no matter whether this increase in blood flow is normal or abnormal, he may hear sounds that should not be heard in his ears, so most of them are related to blood vessels, and the wall becomes thinner, which will produce pulsatile tinnitus. Dr. Liu Yuzhi: What are the possible complications of pulsatile tinnitus? Dr. Su Yichang: Most of the pulsatile tinnitus is not a major complication other than the impact on sleep and quality of life just mentioned, but it happens occasionally, because wedding photo retouching services the sound is too loud, it will indirectly affect hearing. , the most common complication may be partial hearing loss. Dr. Liu Yuzhi: If there is pulsatile tinnitus, what tests should be done? Dr. Su Yichang: If we suspect pulsatile tinnitus, most of it is described by the patient. The first one is that we will say that our doctor will also help to press the throat or the back of the ear, whether it is on the left or right, the sound will be heard. It will not disappear. The second is that we will use a stethoscope to listen, whether we can hear the sound or not. The third is of course we will do some examinations related to blood vessels and bones near the ear. This examination is a big one. Some refer to MRIs, or computed tomography, two less invasive tests. Dr. Liu Yuzhi:
How to treat pulsatile tinnitus? Physician Su Yichang: If it is found that the blood flow in the blood vessels increases, and the increased blood flow is related to abnormal blood vessels, of course we will treat the abnormal blood vessels, but if the blood vessels are normal, but the walls change. If it is thin, it is possible to do some surgery to thicken the wall. The wall actually refers to the bone. We can thicken the bone behind the ear, but this kind of surgery is rarely done, because most of the patients are advised to , If you can adapt to such symptoms, you can actually adapt. Or we can use some simple drugs to make his blood pressure smoother and his heart rate not so fast. Sometimes the symptoms will also improve, so we are less likely to treat this kind of wall thinning, so Most of the treatments, especially invasive treatments, will target those with abnormal blood vessels, or those blood vessels are in a special location, and then we will treat that. Dr. Liu Yuzhi: What are the so-called abnormal blood vessels? Dr. Su Yichang: The most famous example is probably the so-called arteriovenous tube. Basically, we can describe the arteriovenous tube. It is like an artery and a vein. The two are accidentally connected to the wrong line. Because of the pressure of the arteries, the pressure of the ear is abnormally increased. After the pressure rises, the ear next to the bone will hear the sound, and he will have pulsatile tinnitus.