Evidence map›Paper›PMID 42363966›Full record

ArticleEuropean radiology2026

Temporal bone remodeling after venous stenting for pulsatile tinnitus: isolated dehiscence versus diverticulum.

Zhiyuan Zhang, Yanjing Han, Tianhao Su, Xiaoyu Qiu, Pengfei Zhao, Long Jin

Abstract readComparative Study
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In one paragraph

Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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5 · Who and what money

Authors and funding

6 authors.

Zhiyuan Zhang *Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Yanjing Han *Department of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Tianhao SuDepartment of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Xiaoyu QiuDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. qiuxy520@163.com.
Pengfei ZhaoDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. zhaopengf05@163.com.
Long JinDepartment of Interventional Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. BFHjinlong@163.com.ORCID http://orcid.org/0009-0002-4963-7216

Funding

Major Research Plan 82302333Major Research Plan 82572184
6 · The paper itself

Abstract

objectivesTo evaluate clinical outcomes and temporal bone remodeling after venous sinus stenting for pulsatile tinnitus (PT), and to compare remodeling rates between isolated sigmoid sinus wall dehiscence (SSWD) and diverticulum-associated SSWD. MATERIALS AND

methodsThis retrospective cohort study included 70 consecutive patients who underwent venous sinus stenting for PT. Clinical success was defined as symptom improvement or complete resolution. The primary endpoints were short-term clinical success (at 3 months) and temporal bone remodeling on follow-up CT (n = 52). Long-term clinical success was evaluated as a secondary endpoint. Multivariable logistic regression, adjusted for age, sex, dehiscence size, diverticulum presence, and preoperative Tinnitus Handicap Inventory (THI) score, was used to identify predictors of temporal bone remodeling.

resultsShort-term clinical success was achieved in 65/70 patients (92.9%). Remodeling occurred in 38/52 patients (73.1%) with follow‑up CT. Remodeling rates were significantly higher in patients with a diverticulum versus isolated SSWD (85.7% (30/35) vs 47.1% (8/17); adjusted OR, 8.08; 95% CI: 1.31-49.73; p = 0.024). Older age independently predicted temporal bone remodeling (adjusted OR per year, 1.14; 95% CI: 1.03-1.26; p = 0.012). Long-term clinical success was observed in 97.4% (37/38) of remodeled patients and 85.7% (12/14) of non-remodeled patients (p = 0.15).

conclusionVenous sinus stenting for PT results in a high rate of clinical success. The presence of a diverticulum strongly predicts subsequent temporal bone remodeling, whereas SSWD appears less likely to remodel, highlighting potential pathophysiological differences between these anatomical subtypes. KEY POINTS: Question Venous sinus stenting for pulsatile tinnitus results in high clinical success, but temporal bone remodeling differs by anatomical subtype. Findings Patients with a sigmoid sinus diverticulum demonstrate significantly higher rates of postoperative bone remodeling compared to those with isolated dehiscence. Clinical relevance Identifying the specific anatomical anomaly may help to predict temporal bone remodeling and facilitate individualized patient counseling regarding long-term structural outcomes.

Indexed as

Bone RemodelingCranial SinusesDiverticulumStentsTemporal BoneTinnitusAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTomography, X-Ray ComputedTreatment OutcomeBone remodelingCranial sinusesStentsTemporal boneTinnitus

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.