The jugular bulb. Its anatomic and clinical considerations in contemporary otology.

The purpose of this paper is to bring together in a comprehensive, up-to-date, and relevant manner knowledge of the jugular bulb and sigmoid sinus. The gross and microscopic anatomy of the jugular bulb is discussed, and selected illustrations of temporal bone sections show the varying locations of the jugular bulb. Considerations in differential diagnosis are presented, and examples of surgical procedures are delineated wherein the jugular bulb was encountered, and the methods of management in these instances are detailed.