scholarly journals Cholesteatoma Surgery With a Dehiscent High Jugular Bulb Treated With Surgery Assisted With Underwater Endoscopy: A Case Report

2021 ◽  
pp. 014556132110091
Author(s):  
Yusuke Takata ◽  
Takashi Anzai ◽  
Satoshi Hara ◽  
Hiroko Okada ◽  
Fumihiko Matsumoto ◽  
...  
Keyword(s):  
Case Report ◽  
Middle Ear ◽  
Air Embolism ◽  
Jugular Bulb ◽  
Middle Ear Surgery ◽  
Operative Field ◽  
Ear Surgery ◽  
High Jugular Bulb ◽  
Cholesteatoma Surgery

A dehiscent high jugular bulb would be a pitfall in middle ear surgery especially for cholesteatoma. We report a case of cholesteatoma attached to a dehiscent high jugular bulb successfully treated with surgery assisted with underwater endoscopy. To the best of our knowledge, no previous study has reported a case of cholesteatoma with dehiscent high jugular bulb treated with surgery assisted with underwater endoscopy. Owing to the risk of jugular bulb injury, underwater endoscopy is a good indication for middle ear cases with a dehiscent high jugular bulb to obtain a clear operative field and avoid an unexpected air embolism.

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 Hearing impairment in Paget's disease of bone. A case report of middle ear surgery.

1988 ◽  
Vol 81 (3) ◽  
pp. 353-361
Author(s):  
Toshimitsu Kobayashi ◽  
Katsuhisa Ikeda ◽  
Zenya Itoh ◽  
Hideya Wataya ◽  
Motoaki Ishigaki ◽  
...  
Keyword(s):  
Case Report ◽  
Hearing Impairment ◽  
Middle Ear ◽  
Paget’S Disease ◽  
Paget's Disease ◽  
Paget’S Disease Of Bone ◽  
Middle Ear Surgery ◽  
Paget's Disease Of Bone ◽  
Ear Surgery

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.

A simple method for retaining the aural speculum

1995 ◽  
Vol 109 (3) ◽  
pp. 230-231 ◽  
Author(s):  
G. Soo ◽  
D. A. Nunez
Keyword(s):  
Middle Ear ◽  
Simple Technique ◽  
Middle Ear Surgery ◽  
Operative Field ◽  
Ear Surgery ◽  
Simple Method

AbstractIn middle ear surgery via the permeatal approach, aural specula are frequently used to improve visualization of the operative field. Mechanical holders designed for retaining the aural speculum, are expensive and require sterilization for reuse. A simple technique for retaining the speculum which overcomes the drawbacks of a mechanical holder is described.

Unilateral Conductive Hearing Loss Secondary to a High Jugular Bulb in a Pediatric Patient

1997 ◽  
Vol 76 (7) ◽  
pp. 468-469 ◽  
Author(s):  
Michael S. Haupert ◽  
David N. Madgy ◽  
Walter M. Belenky ◽  
John W. Becker
Keyword(s):  
Hearing Loss ◽  
Black Male ◽  
Conductive Hearing Loss ◽  
Incidental Finding ◽  
Jugular Bulb ◽  
Middle Ear Surgery ◽  
Ear Surgery ◽  
High Jugular Bulb ◽  
Temporal Bones ◽  
Conductive Hearing

A high jugular bulb is not an uncommon otologic anomaly. It may be noted as an incidental finding on physical exam, middle ear surgery, or computed tomography of the temporal bones. Frequently the patient is asymptomatic, but a high jugular bulb can occasionally cause tinnitus or conductive hearing loss. The case of a seven-year-old black male with unilateral conductive hearing loss secondary to a high jugular bulb is presented. The diagnosis, differential diagnosis, and management of a conductive hearing loss associated with a high jugular bulb are discussed.

scholarly journals Effectiveness of dexmedetomidine in reducing blood loss during middle ear surgery under general anaesthesia: a randomized controlled trial

2016 ◽  
Vol 3 (2) ◽  
pp. 57-63 ◽  
Author(s):  
Chiranjib Sarkar ◽  
Chiranjib Bhattacharyya ◽  
Rajiv Samal ◽  
Anisha De ◽  
Sudeshna Bhar (Kundu) ◽  
...  
Keyword(s):  
Blood Loss ◽  
General Anaesthesia ◽  
Middle Ear ◽  
Controlled Study ◽  
Middle Ear Surgery ◽  
Operative Field ◽  
Ear Surgery ◽  
Intraoperative Bleeding ◽  
Bleeding Score ◽  
Group D

Background: Maintenance of relatively dry bloodless field is favoured by surgeons during middle ear surgery under operating microscope as it produces better visibility, ease of operation and reduces operating time. A highly selective alpha2 adrenergic agonist like dexmedetomidine, by virtue of its central sympatholytic, sedative and analgesic-sparing effect may provide such desired operating conditions.Methods: A randomised double-blind, placebo-controlled study was conducted to evaluate whether dexmedetomidine reduces blood loss in middle ear surgery under general anaesthesia and improve operative field visibility. Fifty-four patients aged 18-40 years, posted for elective middle ear surgeries were randomly divided into two groups. Patients of Group D (n=27) received dexmedetomidine in a loading dose of 1mcg/kg over 10 minutes before induction of anaesthesia followed by steady infusion at 0.4mcg/kg/hr. Group P (n=27) patients received corresponding volumes of normal saline as placebo. The operating surgeon assessed the intraoperative bleeding by a four-point Bleeding Score at the 10-minute interval and the Final Opinion on Bleeding Score at the end of surgery. For the test of statistical significance, a value of p less than 0.05 was chosen.Results: In Group D, the Bleeding Scores and the Final Opinion on Bleeding Score were significantly lower when compared with Group P (p < 0.05).Conclusions: Dexmedetomidine was found to significantly reduce intraoperative bleeding. This, in turn, improves operative field visibility and increases surgeon’s satisfaction during middle-ear surgery under general anaesthesia.

Taste Change after Middle Ear Surgery

2009 ◽  
Vol 52 (5) ◽  
pp. 401 ◽  
Author(s):  
Young-Ho Lee ◽  
Mi-Kyung Ye ◽  
Im-Hee Shin
Keyword(s):  
Middle Ear ◽  
Middle Ear Surgery ◽  
Ear Surgery
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