耳部手术中遇到高位颈静脉球。
Encountering a high jugular bulb during ear surgery.
作者信息
Fox R, Nash R, Tatla T
机构信息
Northwick Park Hospital , Harrow , the UK.
出版信息
Ann R Coll Surg Engl. 2017 Jan;99(1):36-37. doi: 10.1308/rcsann.2016.0290. Epub 2016 Sep 23.
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.
摘要
耳部手术中遇到颈静脉球异常是一个罕见但已被认识到的问题。10% - 15%的患者存在高位颈静脉球，其在颞骨内的位置多变，可能导致问题，因为如果不小心打开颈静脉球，会引起活跃的静脉出血。本文介绍了一名52岁女性患者的病例，该患者患有中央鼓膜穿孔，接受了择期耳内鼓膜成形术，在掀起鼓室耳道皮瓣时出现了活跃出血。
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