title: Encountering a high jugular bulb during ear surgery.
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.
authors.affiliation: Northwick Park Hospital , Harrow , the UK.
authors.forename: R
authors.initials: R
authors.lastname: Fox
authors.affiliation: Northwick Park Hospital , Harrow , the UK.
authors.forename: R
authors.initials: R
authors.lastname: Nash
authors.affiliation: Northwick Park Hospital , Harrow , the UK.
authors.forename: T
authors.initials: T
authors.lastname: Tatla
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D002558:Cerebrospinal Fluid Otorrhea / Q000601:surgery*; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D007601:Jugular Veins / Q000002:abnormalities* / Q000293:injuries; D008875:Middle Aged; D009225:Myringoplasty / Q000379:methods; D018058:Tympanic Membrane Perforation / Q000601:surgery*
keywords: Hemostasis; Jugular vein; Myringoplasty