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Otology | Pulsatile Tinnitus | Mr Patrick Axon

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