Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T07:36:54.581Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  29 June 2007

Philip J. Moore*
Affiliation:
Australia
*
Philip J. Moore, 5 Warneford Street, South Hobart, Australia 7000.

Abstract

Encounters 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.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anson, B. J., Donaldson, J. A. (1981) Surgical Anatomy of the Temporal Bone, 3rd Edition. W. B. Saunders Co., Philadelphia, p 645.Google Scholar
Bailey, C. M. (1987) Surgical anatomy of the skull base. In Scott-Brown's Otolaryngology. 5th Edition. Vol. 1 - Basic Sciences. (Wright, D., Kerr, A., eds.). Butterworth and Co., London, p 373.Google Scholar
Chandler, J. R. (1983) Diagnosis and cure of venous hum tinnitis. Laryngoscope 93: 892895.CrossRefGoogle Scholar
Cornell, S. H. (1969) Jugular venography. American Journal of Roentgenology 106: 303307.CrossRefGoogle ScholarPubMed
Farrell, F. W., Hantz, O. (1977) Protruding jugular bulb presenting as a middle ear mass: case report and brief review. American Journal of Roentgenology 128: 685687.CrossRefGoogle Scholar
Gejrot, T. (1964) Retrograde jugularography in the diagnosis of abnormality of the superior bulb of the internal jugular vein. Acta Otolaryngologica 57: 177180.CrossRefGoogle ScholarPubMed
Glasscock, M. E., Dickins, J. R., Jackson, C. G., Weit, R. J. (1980) Vascular anomalies of the middle ear. Laryngoscope 90: 7788.CrossRefGoogle ScholarPubMed
Graham, M. D. (1977) The jugular bulb: its anatomic and clinical considerations in contemporary otology. Laryngoscope 87: 105125.CrossRefGoogle ScholarPubMed
Gullane, P. J., Ruby, R. R. F, Rounthwaite, F. J., Babb, J. W., Wong, G. L. (1976) The high jugular bulb. Journal of Otolaryngology 5(5): 437441.Google ScholarPubMed
Hannell, G., Fagan, P. A. (1987) The clinical significance of jugular bulb anomalies. Journal of the Otolaryngological Society of Australia 6(1): 4649.Google Scholar
Hitselberger, W. E., Witten, R. M. (1969) Jugular venography. Archives of Otolaryngology 89: 167169.CrossRefGoogle ScholarPubMed
Hough, J. V. D. (1958) Malformations and anatomical variations seen in the middle ear during the operations for mobilization of the stapes. Laryngoscope 67: 13371379.CrossRefGoogle Scholar
Hough, J. V. D. (1963) Congenital malformations of the middle ear. Archives of Otolaryngology 78: 335343.CrossRefGoogle ScholarPubMed
Jahrsdoerfer, R. A., Cail, W. S., Cantrell, R. W. (1981) Endolymphatic duct obstruction from a jugular bulb diverticulum. Annals of Otology, Rhinology and Laryngology 90: 619623.CrossRefGoogle ScholarPubMed
Kennedy, D. W., Hafez-El-Sirsy, H., Nager, G. T. (1986) The jugular bulb in otologic surgery: anatomic, clinical and surgical considerations. Otolaryngology-Head and Neck Surgery 94: 615.CrossRefGoogle ScholarPubMed
Lloyd, T. V., Van Aman, M., Johnson, J. C. (1979) Aberrant jugular bulb presenting as a middle ear mass. Radiology 131: 139141.CrossRefGoogle ScholarPubMed
Moloy, P. J., Brackmann, D. E. (1986) Control of venous bleeding in otologic surgery. Laryngoscope 96: 580582.CrossRefGoogle ScholarPubMed
Moretti, J. A. (1976) Highly placed jugular bulb and conductive deafness. Archives of Otolaryngology 102: 430431.CrossRefGoogle ScholarPubMed
Orr, J. B., Todd, N. W. (1988) Jugular bulb position and shape are unrelated to temporal bone pneumatization. Laryngoscope 98: 136138.CrossRefGoogle ScholarPubMed
Overton, S. B., Ritter, F. N. (1973) A high placed jugular bulb in the middle ear: a clinical and temporal bone study. Laryngoscope 83: 19861991.CrossRefGoogle ScholarPubMed
Page, J. R. (1914) A case of probable injury to the jugular bulb following myringotomy in an infant 10 months old. Annals of Otology, Rhinology and Laryngology 23: 161163.CrossRefGoogle Scholar
Presutti, L., Laudadio, P. (1991) Jugular bulb diverticula. Journal of Oto-Rhino-Laryngology and its Related Specialties 53(1): 5760.CrossRefGoogle ScholarPubMed
Rauch, S. D., Xu, W., Nadol, J. B. (1993) High jugular bulb: implications for posterior fossa neurotologic and cranial base surgery. Annals of Otology, Rhinology and Laryngology 102: 100107.CrossRefGoogle ScholarPubMed
Robin, P. E. (1972) A case of upwardly situated jugular bulb in the left middle ear. Journal of Laryngology and Otology 86: 12411245.CrossRefGoogle ScholarPubMed
Savic, D., Djerie, D. (1987) Surgical anatomy of the hypotympanum. Journal of Laryngology and Otology 101: 419425.CrossRefGoogle ScholarPubMed
Schuknecht, H. F., Gulya, A. J. (1986) Anatomy of the Temporal Bone with Surgical Implications, Lea and Febiger, Philadelphia, pp 194195.Google Scholar
Shao, K. N., Tatagiba, M., Samii, M. (1993) Surgical management of high jugular bulb in acoustic neurinoma via retrosigmoid approach. Neurosurgery 32(1): 3236.CrossRefGoogle ScholarPubMed
Shotton, J. C., Ludman, M. A., Cox, C. S. (1989) Temporal bone venous anomaly of surgical signficance. Journal of Laryngology and Otology 103: 101106.CrossRefGoogle Scholar
Smith, B., Myer, C. M., Towbin, R. B. (1987) Dehiscent jugular bulb. Annals of Otology, Rhinology and Laryngology 96: 232233.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Black, J. H. A. (1965) A case of protruding jugular bulb. Laryngoscope 75: 669672.Google Scholar
Steffen, T. N. (1968) Vascular anomalies of the middle ear. Laryngoscope 78: 171197.CrossRefGoogle Scholar
Stenglein, C., Cidlinsky, K. (1993) Magnetic resonance angiography: diagnosis of pulsatile tinnitus. HNO 41(5): 274277.Google ScholarPubMed
Stern, J., Goldenberg, M. (1980) Jugular bulb diverticula in medial petrous bone. American Journal of Roentgenology 134: 959961.CrossRefGoogle ScholarPubMed
Subotic, R. (1979) The high position of the jugular bulb. Acta Otolaryngologica 87: 340344.CrossRefGoogle ScholarPubMed
Tsunoda, A., Yamashita, K., Matsui, M., Komatsuzaki, A. (1992) Jugular bulb position in the cranial base and its relation to cranial venous system. Nippon Jibiinkoka Gakkai Kaiho 95(1): 16.CrossRefGoogle ScholarPubMed
Valvasorri, G. E., Buckingham, R. A. (1974) Middle ear masses mimicking glomous tumours: radiographic and otoscopic recognition. Annals of Otology, Rhinology and Laryngology 83: 606612.CrossRefGoogle Scholar
Wadin, K., Wilbrand, H. (1986) The jugular bulb diverticulum. Acta Radiologica 27(4): 395401.CrossRefGoogle ScholarPubMed
Walsh, R. M., Lannigan, F. J., McGlashan, J. A., Bowdler, D. A. (1993) Jugular bulb phlebectasia. International Journal of Paediatric Otolaryngology 25(13): 249254.CrossRefGoogle ScholarPubMed
Warwick, R., Williams, P. (Editors) (1975) Gray's Anatomy, 35th Edition. Longman, Edinburgh, p 689.Google Scholar
West, J. M., Bandy, B. C., Jafek, B. W. (1974) Aberrant jugular bulb in middle ear cavity. Archives of Otolaryngology 100: 370372.CrossRefGoogle ScholarPubMed
Yagi, M. (1992) A temporal bone study of the jugular fossa. Nippon Jibiinkoka Gakkai Kaiho 95(6): 878890.CrossRefGoogle ScholarPubMed