Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal
| Autor: | M Ball, H Pau, M D Elloy, Ram Vaidhyanath |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male High-resolution computed tomography medicine.medical_specialty Hemorrhage Dehiscence Jugular vein medicine Humans Ear canal medicine.diagnostic_test business.industry Cholesteatoma General Medicine Anatomy Middle Aged medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Jugular bulb Middle ear Female Jugular Veins Presentation (obstetrics) Tomography X-Ray Computed business Ear Canal |
| Zdroj: | The Journal of Laryngology & Otology. 124:790-792 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215109992349 |
| Popis: | Objective:We report two rare cases of high and dehiscent jugular bulbs protruding into the external ear canal; one case was silent, the other symptomatic.Method:The cases are presented and the relevant literature reviewed and discussed.Results:A 52-year-old woman underwent mastoid exploration for suspected cholesteatoma. On raising the tympanomeatal flap, while still lateral to the annulus, brisk venous bleeding occurred from a high, dehiscent jugular bulb in the external ear canal. The second patient, a 42-year-old man, underwent imaging for suspected glomus tumour. A high, dehiscent jugular bulb was found protruding into the external ear canal and hypotympanum.Conclusion:High jugular bulbs in the middle ear have been reported many times. To our knowledge, there has only been one previous report of a high jugular bulb in the external ear. These cases illustrate the importance of full, accurate assessment of high resolution computed tomography images, and of appropriate, immediate management of bleeding. |
| Databáze: | OpenAIRE |
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