골결손을 동반한 고위 경정맥구 박동성 이명의 수술적 치료 1예

A high jugular bulb is usually asymptomatic and incidentally found during otologic examination. But high jugular bulb dehiscence may cause vascular pulsatile tinnitus. It is thought to be one of the treatable cause of venous pulsatile tinnitus, but there were previous 2 case reports of surgical treatment for pulsatile tinnitus due to high jugular bulb dehiscence in Korean literature. The authors present a case of pulsatile tinnitus owing to dehiscent high jugular bulb which has been successfully treated by surgical reconstruction. We used conchal cartilage piece as a reconstruction material. The procedure was simple and easy to introduce and worth for it. (J Clinical Otolaryngol 2014;25:56-60)