Sangrado del bulbo de la yugular en la cirugía de oído medio. Caso clínico
[EN] Introduction and objectives: Although alterations of the bulb of the jugular in the middle ear are relatively frequent, his injury during surgery represents a unique complication. Our work will review the anatomic relationships and anomalies that can show the jugular bulb, and decide the best w...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2014 |
| País: | España |
| Institución: | Universidad de Salamanca (USAL) |
| Repositorio: | GREDOS. Repositorio Institucional de la Universidad de Salamanca |
| OAI Identifier: | oai:gredos.usal.es:10366/124984 |
| Acceso en línea: | http://hdl.handle.net/10366/124984 |
| Access Level: | acceso abierto |
| Palabra clave: | Otorrinolaringología Venas yugulares Hueso temporal Hemorragia Oído medio Procedimientos quirúrgicos otológicos Acúfeno Tinitus pulsátil Jugular veins Temporal bone Hemorrhage Ear, middle Otologic surgical Procedures Tinnitus 32 Ciencias médicas |
| Sumario: | [EN] Introduction and objectives: Although alterations of the bulb of the jugular in the middle ear are relatively frequent, his injury during surgery represents a unique complication. Our work will review the anatomic relationships and anomalies that can show the jugular bulb, and decide the best way to diagnose them when they are suspected. We will explain our experience and a literature reviewed in relation to the way of presenting hemorrhage of the jugular bulb. Case report: It is a 45 year old male that came unexpected bleeding in the jugular bulb during a stapedectomy. Discussion: The jugular bulb anomalies are usually asymptomatic, although sometimes they can manifest with tinnitus and hearing loss. When you suspect the presence of a high bulb in the middle ear, he main exploration is the high resolution TC scan of, which allows us to know its location and whether or not it is dehiscent. If during the otological surgery surprised a massive venous bleeding, compression with gauze or absorbable material is usually sufficient to stop the bleeding. Conclusion: Anomalies of the jugular bulb may go unnoticed before the surgery. If they suspect, must diagnose to avoid injuring the bulb and cause unexpected and heavy bleeding which although alarming, is controlled regularly well. |
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