Takata Yusuke, Anzai Takashi, Hara Satoshi, Okada Hiroko, Matsumoto Fumihiko, Ikeda Katsuhisa
Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan.
Ear Nose Throat J. 2023 Jul;102(7):433-436. doi: 10.1177/01455613211009135. Epub 2021 Apr 29.
A dehiscent high jugular bulb would be a pitfall in middle ear surgery especially for cholesteatoma. We report a case of cholesteatoma attached to a dehiscent high jugular bulb successfully treated with surgery assisted with underwater endoscopy. To the best of our knowledge, no previous study has reported a case of cholesteatoma with dehiscent high jugular bulb treated with surgery assisted with underwater endoscopy. Owing to the risk of jugular bulb injury, underwater endoscopy is a good indication for middle ear cases with a dehiscent high jugular bulb to obtain a clear operative field and avoid an unexpected air embolism.
中耳手术中，尤其是胆脂瘤手术，高位颈静脉球破裂是一个陷阱。我们报告了一例附着于高位颈静脉球破裂处的胆脂瘤病例，该病例通过水下内镜辅助手术成功治疗。据我们所知，此前尚无研究报道水下内镜辅助手术治疗高位颈静脉球破裂伴胆脂瘤的病例。由于存在颈静脉球损伤的风险，水下内镜对于高位颈静脉球破裂的中耳病例是一个很好的选择，可获得清晰的手术视野并避免意外空气栓塞。
