Encountering a high jugular bulb during ear surgery.

Ann R Coll Surg Engl

Northwick Park Hospital, Harrow , the UK.

Published: January 2017

AI Article Synopsis

  • Encounters with jugular bulb abnormalities during ear surgery are uncommon but acknowledged issues, with a high riding jugular bulb found in 10%-15% of individuals.
  • The position of this bulb within the temporal bone can pose significant risks, including sudden and heavy bleeding if the bulb is accidentally breached during surgery.
  • A case study is highlighted involving a 52-year-old woman who had a tympanic membrane perforation and faced severe bleeding while undergoing planned myringoplasty.

Article Abstract

Encounters with jugular bulb abnormalities during ear surgery are a rare but recognised problem. A high riding jugular bulb is present in 10%-15% of patients and its variable position within the temporal bone can lead to problems as brisk venous haemorrhage can result if the bulb is inadvertently opened. The case of a 52-year-old woman with a central tympanic membrane perforation who underwent elective endaural myringoplasty and experienced brisk bleeding on raising the tympanomeatal flap is presented.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392809PMC
http://dx.doi.org/10.1308/rcsann.2016.0290DOI Listing

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