Internal Jugular Vein Compression Collar for Novel Symptomatic Treatment of Venous Pulsatile Tinnitus

Inclusion Criteria * Male or female age 18 years and older * Diagnosis of venous pulsatile tinnitus * Patient at UNC ENT Meadowmont Clinic Exclusion Criteria * Increased presence of acid in the body or excessive blood alkalinity * Open head injury (including in or around the eye) within the past six months * Pseudotumor cerebri (false brain tumor) * Presence of brain or spinal shunt * Known seizure disorder * Known airway obstruction * Increased likelihood of blood clotting (coagulation) * Skin injury, rash, or other abnormality on or around the neck * age \<18 * unable to provide written consent, * history of neurological deficits, * previous cerebral infarction (blockage or narrowing in the arteries supplying blood and oxygen to the brain) * severe head trauma * medical contraindications to restriction of blood outflow via the internal jugular veins * glaucoma (narrow angle or normal tension - increased pressure in the eyes), * hydrocephalus (increased fluid on the brain) * recent penetrating brain trauma (within 6 months), * known carotid hypersensitivity * known increased intracranial pressure * idiopathic intracranial hypertension * known intracranial vascular malformation (e.g. aneurysm, arteriovenous malformation, cavernoma) * central vein thrombosis * not tolerating initial fitting of collar. * Known pregnancy (this is not a direct contraindication but is being made out of an abundance of caution) * Inability to speak or comprehend English