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Title: Beware the silent presentation of a high and dehiscent jugular bulb in the external ear canal. Author: Ball M, Elloy M, Vaidhyanath R, Pau H. Journal: J Laryngol Otol; 2010 Jul; 124(7):790-2. PubMed ID: 20025812. Abstract: 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.[Abstract] [Full Text] [Related] [New Search]