Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-05T09:56:49.306Z Has data issue: false hasContentIssue false
  • English
  • Français

Radiological and audiometric evaluation of high jugular bulb and dehiscent high jugular bulb

Published online by Cambridge University Press:  08 November 2016

A T Sayit ,
H P Gunbey ,
B Fethallah ,
E Gunbey  and
E Karabulut
A T Sayit*
Affiliation:
Department of Radiology, Ondokuzmayis University Faculty of Medicine, Samsun, Turkey
H P Gunbey
Affiliation:
Department of Radiology, Ondokuzmayis University Faculty of Medicine, Samsun, Turkey
B Fethallah
Affiliation:
Department of Otorhinolaryngology, Ondokuzmayis University Faculty of Medicine, Samsun, Turkey
E Gunbey
Affiliation:
Department of Otorhinolaryngology, Samsun Gazi State Hospital, Samsun, Turkey
E Karabulut
Affiliation:
Department of Biostatistics, Hacettepe University Faculty of Medicine, Ankara, Turkey
*
Address for correspondence: Dr Asli Tanrivermis Sayit, Department of Radiology, Ondokuzmayis University Faculty of Medicine, Samsun, Turkey E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To inform on the incidence of high jugular bulb and dehiscent high jugular bulb, and the symptoms related to these vascular anomalies.

Methods:

A retrospective analysis was performed of temporal bone computed tomography scans of 3285 patients who attended our clinic with various symptoms. The medical records of patients with high jugular bulb and dehiscent high jugular bulb were analysed, and the clinical findings reviewed. Patients with dehiscent high jugular bulb were evaluated for hearing loss with pure tone audiometry.

Results:

High jugular bulb was evident in 730 patients (22 per cent) (510 right-sided, 220 left-sided; p < 0.01). Twenty-six high jugular bulb patients had dehiscent high jugular bulb. Ten of these 26 patients had vertigo, 15 had tinnitus and 1 had hearing disturbance. Ten dehiscent high jugular bulb patients had undergone pure tone audiometry: seven patients had conductive hearing loss, two had sensorineural hearing loss and one had mixed hearing loss.

Conclusion:

The incidences of high jugular bulb and dehiscent high jugular bulb were 22 per cent and 3.5 per cent, respectively. Tinnitus was the most common symptom of all patients. Dehiscent high jugular bulb was associated with various degrees of hearing loss, but not hearing disturbance.

Keywords

High Jugular BulbDehiscenceTemporal BoneComputed TomographyX-RayTinnitusMiddle EarHearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 11 , November 2016 , pp. 1059 - 1063
Copyright
Copyright © JLO (1984) Limited 2016 

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

1 Lin, YY, Wang, CH, Liu, SC, Chen, HC. Aberrant internal carotid artery in the middle ear with dehiscent high jugular bulb. J Laryngol Otol 2012;126:645–7Google Scholar
2 Ball, M, Elloy, M, Vaidhyanath, R, Pau, H. Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. J Laryngol Otol 2010;124:790–2Google Scholar
3 Koesling, S, Kunkel, P, Schul, T. Vascular anomalies, sutures and small canals of the temporal bone on axial CT. Eur J Radiol 2005;54:335–43Google Scholar
4 Atilla, S, Akpek, S, Uslu, S, Ilgit, ET, Işik, S. Computed tomographic evaluation of surgically significant vascular variations related with the temporal bone. Eur J Radiol 1995;20:52–6Google Scholar
5 Overton, SB, Ritter, FN. A high placed jugular bulb in the middle ear: a clinical and temporal bone study. Laryngoscope 1973;83:1986–91Google Scholar
6 Wadin, K, Thomander, L, Wilbrand, H. Effects of a high jugular fossa and jugular bulb diverticulum on the inner ear. A clinical and radiologic investigation. Acta Radiol Diagn (Stockh) 1986;27:629–36Google Scholar
7 Woo, CK, Wie, CE, Park, SH, Kong, SK, Lee, IW, Goh, EK. Radiologic analysis of high jugular bulb by computed tomography. Otol Neurotol 2012;337:1283–7Google Scholar
8 Weiss, RL, Zahtz, G, Goldofsky, E, Parnes, H, Shikowitz, MJ. High jugular bulb and conductive hearing loss. Laryngoscope 1997;107:321–7Google Scholar
9 Atmaca, S, Elmali, M, Kucuk, H. High and dehiscent jugular bulb: clear and present danger during middle ear surgery. Surg Radiol Anat 2014;36:369–74Google Scholar
10 Hourani, R, Carey, J, Yousem, DM. Dehiscence of the jugular bulb and vestibular aqueduct: findings on 200 consecutive temporal bone computed tomography scans. J Comput Assist Tomogr 2005;29:657–62Google Scholar
11 Tomura, N, Sashi, R, Kobayashi, M, Hirano, H, Hashimoto, M, Watarai, J. Normal variations of the temporal bone on high-resolution CT: their incidence and clinical significance. Clin Radiol 1995;50:144–8CrossRefGoogle ScholarPubMed
12 El-Begermy, MA, Rabie, AN. A novel surgical technique for management of tinnitus due to high dehiscent jugular bulb. Otolaryngol Head Neck Surg 2010;142:576–81Google Scholar
13 Wang, CH, Shi, ZP, Liu, DW, Wang, HW, Huang, BR, Chen, HC. High computed tomographic correlations between carotid canal dehiscence and high jugular bulb in the middle ear. Audiol Neurootol 2011;16:106–12Google Scholar
14 Cama, E, Inches, I, Muzzi, E, Sadushi, O, Santarelli, R, De Colle, W et al. Temporal bone high-resolution computed tomography in non-syndromic unilateral hearing loss in children. ORL J Otorhinolaryngol Relat Spec 2012;74:70–7Google Scholar
15 Friedmann, DR, Eubig, J, Winata, LS, Pramanik, BK, Merchant, SN, Lalwani, AK. Prevalence of jugular bulb abnormalities and resultant inner ear dehiscence: a histopathologic and radiologic study. Otolaryngol Head Neck Surg 2012;147:750–6Google Scholar