High Computed Tomographic Correlations between Carotid Canal Dehiscence and High Jugular Bulb in the Middle Ear

2011 ◽  
Vol 16 (2) ◽  
pp. 106-112 ◽  
Author(s):  
Chih-Hung Wang ◽  
Zheng-Ping Shi ◽  
Dai-Wei Liu ◽  
Hsing-Won Wang ◽  
Bor-Rong Huang ◽  
...  
Keyword(s):  
Middle Ear ◽  
Jugular Bulb ◽  
Computed Tomographic ◽  
Carotid Canal ◽  
High Jugular Bulb ◽  
Canal Dehiscence

Temporal bone venous anomaly of surgical significance

1989 ◽  
Vol 103 (1) ◽  
pp. 101-106 ◽  
Author(s):  
J. C. Shotton ◽  
H. Ludman ◽  
T.C.S. Cox
Keyword(s):  
Temporal Bone ◽  
Middle Ear ◽  
Acoustic Neuroma ◽  
Posterior Wall ◽  
Jugular Bulb ◽  
Venous Anomaly ◽  
Internal Auditory Meatus ◽  
High Jugular Bulb ◽  
Acoustic Neuroma Surgery ◽  
Superior Petrosal Sinus

AbstractVariability in the size of the dural sinuses and jugular bulb is not uncommon and usually manifests as a high jugular bulb encroaching upon the floor of the middle ear. A rarer entity is the superior and medial extension of the jugular bulb into the bone of the posterior wall of the internal auditory meatus. We report a case where this anomaly was encountered during acoustic neuroma surgery making exposure of the fundus of the internal auditory meatus technically impossible. The possibility of a communication with the superior petrosal sinus is discussed.

Nonneoplastic Vascular Lesions of the Middle Ear

1993 ◽  
Vol 102 (9) ◽  
pp. 738-740 ◽  
Author(s):  
Patricia A. Suarez ◽  
John G. Batsakis
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Jugular Bulb ◽  
Vascular Lesions ◽  
High Jugular Bulb

Nonneoplastic vascular lesions in the middle ear may be arterial or venous. For the former, ectopic location of the internal carotid artery is the most common; a high jugular bulb is the most common venous abnormality. Both may be clinically misdiagnosed without radiographic studies and, in the event, lead to disaster.

scholarly journals A Transcanal Endoscopic Approach for Management of Pulsatile Tinnitus due to High-Riding Dehiscent Jugular Bulb

2021 ◽  
pp. 014556132110436
Author(s):  
David Shang-Yu Hung ◽  
Wei-Ting Lee ◽  
Yi-Lu Li ◽  
Jiunn-Liang Wu
Keyword(s):  
Middle Ear ◽  
Coil Embolization ◽  
Jugular Bulb ◽  
Endoscopic Ear Surgery ◽  
Pulsatile Tinnitus ◽  
Clinical Consideration ◽  
Ear Surgery ◽  
High Jugular Bulb ◽  
Endovascular Coil Embolization ◽  
Transmastoid Approach

Pulsatile tinnitus (PT) caused by a high-riding dehiscence jugular bulb (HDJB) is a rare but treatable otology disease. There are several managements include transcatheter endovascular coil embolization, transvenous stent–assisted coil embolization, or resurfacing the dehiscent bony wall of high jugular bulb under the use of microscope. Among those options, surgical resurfacing of HDJB might be an effective and safe choice with less destruction. However, previous studies approached middle ear cavity via microscope can only provide a lateral, indirect view, while resurfacing the vessel through a transcanal endoscopic ear surgery (TEES) approach may give surgeon a direct and easy way to manage HDJB. In this report, we presented a case of 40-year-old woman with HDJB and shared our clinical consideration and reasoning of the surgical management of PT via a transtympanic approach by TEES rather than a transmastoid approach.

The high jugular bulb in ear surgery: three case reports and a review of the literature

1994 ◽  
Vol 108 (9) ◽  
pp. 772-775 ◽  
Author(s):  
Philip J. Moore
Keyword(s):  
Middle Ear ◽  
Surgical Approach ◽  
External Auditory Canal ◽  
Clinical Presentation ◽  
Case Reports ◽  
Jugular Bulb ◽  
Middle Ear Surgery ◽  
Review Of The Literature ◽  
Ear Surgery ◽  
High Jugular Bulb

AbstractEncounters with the jugular bulb in ear surgery are uncommon. This communication relates three cases where the author was confronted with the bulb in middle ear surgery – one in relation to the external auditory canal when raising a tympanomeatal flap and two in the hypotympanum when entering the middle ear. The anatomy of the jugular bulb is considered, particularly in regard to its quite variable placement within the temporal bone. The manner of clinical presentation of the high jugular bulb and previous cases in the literature where the jugular bulb has been discovered in juxtaposition to the surgical approach are discussed. Implications of surgical management are considered.

scholarly journals Repair of Posterior Semicircular Canal Dehiscence from a High Jugular Bulb

2013 ◽  
Vol 122 (4) ◽  
pp. 269-272 ◽  
Author(s):  
Samuel P. Gubbels ◽  
Qi Zhang ◽  
Paul W. Lenkowski ◽  
Marlan R. Hansen
Keyword(s):  
Semicircular Canal ◽  
Jugular Bulb ◽  
Posterior Semicircular Canal ◽  
High Jugular Bulb ◽  
Canal Dehiscence

Aberrant internal carotid artery in the middle ear with dehiscent high jugular bulb

2012 ◽  
Vol 126 (6) ◽  
pp. 645-647 ◽  
Author(s):  
Y-Y Lin ◽  
C-H Wang ◽  
S-C Liu ◽  
H-C Chen
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Ear ◽  
Internal Carotid ◽  
Jugular Bulb ◽  
Bleeding Complications ◽  
Pulsatile Tinnitus ◽  
High Jugular Bulb ◽  
Aberrant Internal Carotid Artery ◽  
The Right

AbstractObjective:We report an extremely rare case of an aberrant internal carotid artery in the middle ear, together with a dehiscent high jugular bulb, a combination never previously reported.Methods:Case report with a review of the literature.Results:A 24-year-old man presented with a five-year history of aural fullness, pulsatile tinnitus and mild hearing impairment in his right ear. Otoscopy revealed a retro-tympanic mass. Computed tomography of the temporal bone revealed protrusion of the right internal carotid artery into the middle-ear cavity, with a dehiscent high jugular bulb. Magnetic resonance angiography showed a reduced diameter and lateralisation of the right internal carotid artery. A diagnosis of an aberrant internal carotid artery with a dehiscent high jugular bulb was made, and the patient was managed with conservative treatment.Conclusion:The otologist should be aware of the possibility of an aberrant internal carotid artery when the patient presents with a retro-tympanic mass, hearing loss and pulsatile tinnitus. Radiological investigation is required to make the differential diagnosis. When an aberrant internal carotid artery presents with a dehiscent high jugular bulb, the risk of serious bleeding is elevated. We recommend a conservative approach for cases presenting without bleeding complications.

Middle Ear Masses Mimicking Glomus Tumors: Radiographic and Otoscopic Recognition

1974 ◽  
Vol 83 (5) ◽  
pp. 606-612 ◽  
Author(s):  
Galdino E. Valvassori ◽  
Richard A. Buckingham
Keyword(s):  
Carotid Artery ◽  
Middle Ear ◽  
Glomus Tumor ◽  
Jugular Bulb ◽  
Cholesterol Granuloma ◽  
Radiographic Findings ◽  
Glomus Tumors ◽  
High Jugular Bulb

A high jugular bulb, an ectopic carotid artery, and an intratympanic cholesterol granuloma may, at times, mimic a middle ear glomus tumor, otoscopically. The otoscopic and radiographic findings which differentiate these lesions include microscopic otoscopy, tomography, carotid arteriography, and retrograde jugular venography. Examples of otoscopic and radiographic findings and procedures which enable the clinician to differentiate these lesions are presented.

Sign in / Sign up

Export Citation Format

Share Document