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Case Reports
. 2017 Jan;99(1):36-37.
doi: 10.1308/rcsann.2016.0290. Epub 2016 Sep 23.

Encountering a high jugular bulb during ear surgery

R Fox #  1 , R Nash  1 , T Tatla  1
Affiliations
Case Reports

Encountering a high jugular bulb during ear surgery

R Fox et al. Ann R Coll Surg Engl. 2017 Jan.

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.

Keywords: Hemostasis; Jugular vein; Myringoplasty.

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Figures

Figure 1
Figure 1
Elevation of the tympanomeatal flap
Figure 2
Figure 2
Profuse venous haemorrhage from the jugular bulb
Figure 3
Figure 3
Raised tympanomeatal flap with suction applied to brisk bleeding
Video
Video
Intraoperative video showing profuse venous haemorrhage from the jugular bulb after elevating the tympanomeatal flap
See this image and copyright information in PMC

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