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The Relationship of Coloboma of Cortical Plate attaching Sigmoid Sinus and Vascular Pulsatile Tinnitus: A Numerical Study

机译:皮质板的Coloboma与血管窦和血管脉粘性耳鸣的关系:数值研究

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Vascular pulsatile tinnitus is a common and serious symptom, but no clear biomechanism. According to clinical radiographic reports, coloboma of cortical plate attaching sigmoid sinus occurs widely among patients, and most of them can be cured through cortical plate reconstruction surgery. Therefore cortical plate coloboma is a high-possibility etiology causing vascular pulsatile tinnitus. To study the mechanical relationship between cortical plate coloboma and vascular pulsatile tinnitus, finite element models of sigmoid sinus flow field and cortical plate were developed based on CT images. The generation and propagation of tinnitus noise were simulated separately. The model with and without cortical plate were analyzed to make comparison. The evaluation result provided a mechanical conclusion that coloboma of cortical plate attaching sigmoid sinus would remarkably amplify the noise generated in sigmoid sinus, therefore directly leading to audible perception. The conclusion also positively supported the cortical plate reconstruction surgery to cure vascular pulsatile tinnitus.
机译:血管脉动耳鸣是一种常见和严重的症状,但没有明确的生物机制。根据临床射线显影报告,皮质板的Coloboma在患者中均广泛发生,大多数可以通过皮质板重建手术治愈。因此皮质板块组织疣是一种高可能性病因,导致血管脉腭耳鸣。为了研究皮质板块组落组织瘤和血管脉粘性耳鸣之间的机械关系,基于CT图像开发了Sigmoid Snus流场和皮质板的有限元模型。分别模拟耳鸣噪声的产生和传播。分析了具有和没有皮质板的模型进行比较。评估结果提供了一种机械结论,即皮质板的Coloboma在附着Sigmoid Snus中,可以显着放大Sigmoid Snus中产生的噪音,因此直接导致可听感知。结论也是积极支持皮质板重建手术治愈血管脉动耳鸣。

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