TUMORS OF THE EAR AND CRANIAL BASEIntraparotid Superficial Temporal Artery Arteriovenous Malformation Causing Persistent Pulsatile TinnitusSelleck, Anne Morgan; O’Connell, Brendan; Patel, Samip; Clark, Joseph MadisonAuthor Information Department of Otolaryngology Head and Neck Surgery, University of North Carolina at Chapel Hill, North Carolina Address correspondence and reprint requests to Anne Morgan Selleck, M.D., 170 Manning Drive, CB #7070, Physicians Office Building, Room G190A, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7070; E-mail: [email protected] The authors disclose no conflicts of interest. Otology & Neurotology: August 2020 - Volume 41 - Issue 7 - p e873-e875 doi: 10.1097/MAO.0000000000002666 Buy Metrics Abstract Objectives: This article discusses the diagnosis, imaging workup, and management of a rare cause of pulsatile tinnitus: intraparotid arteriovenous malformation. Patient: A single patient with a superficial temporal arteriovenous malformation diagnosed by carotid duplex causing pulsatile tinnitus that failed initial surgical management. Repeat imaging failed to identify a cause for the persistent tinnitus. Intervention: Reoperation with a parotid approach based on physical exam findings. Results: Removal of a more proximal arteriovenous malformation in the parotid gland resulted in long-term resolution of the patient's pulsatile tinnitus. Conclusions: Physical examination is essential in the workup and management of pulsatile tinnitus. Imaging is a useful adjunct in the diagnosis of pulsatile tinnitus but should not be solely relied upon. © 2020, Otology & Neurotology, Inc.