A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography

Introduction: The jugular bulb (JB) is a key anatomical structure of the temporal bone that shows variability that can impact otologic surgeries and symptoms. This study aimed to assess the presence and characteristics of bulb variations with high-resolution computed tomography (HRCT) and their dist...

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Main Authors: Saurabh Atram, Alka Agrawal, Yogita Dixit, Manzill, K. S. Suhas, Hema Dhakad, Neelesh Patel
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Acta Medica International
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Online Access:https://journals.lww.com/10.4103/amit.amit_105_24
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author Saurabh Atram
Alka Agrawal
Yogita Dixit
Manzill
K. S. Suhas
Hema Dhakad
Neelesh Patel
author_facet Saurabh Atram
Alka Agrawal
Yogita Dixit
Manzill
K. S. Suhas
Hema Dhakad
Neelesh Patel
author_sort Saurabh Atram
collection DOAJ
description Introduction: The jugular bulb (JB) is a key anatomical structure of the temporal bone that shows variability that can impact otologic surgeries and symptoms. This study aimed to assess the presence and characteristics of bulb variations with high-resolution computed tomography (HRCT) and their distribution across different demographics. Materials and Methods: A total of 400 patients undergoing HRCT of the temporal bone were ambispectively analyzed. JB variations, including high-riding JB, dehiscent JB, and JB diverticulum, were identified. Data were further analyzed based on gender, age, and unilateral versus bilateral presence. Results: High-riding JB was observed in 20% of the patients. Dehiscent JB and JB diverticulum were less frequently found in 3% and 0.25% of the cases, respectively. Significant gender differences were noted with high-riding JB more prevalent in females (27.9%) compared to males (15.9%). Age-related variations showed high-riding JB most frequently in the 10–30 year ages. The majority of JB variations were unilateral with a right-sided predominance. Conclusion: The presence of JB variations highlights the need for careful preoperative assessment in otologic surgeries to avoid complications. The significant findings of gender- and age-related differences in JB variations underscore the importance of personalized diagnostic approaches. This study reinforces the value of HRCT in the detailed evaluation of anatomy for optimized planning of surgeries and patient management.
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spelling doaj-art-8f47181571cb44b8b364ccd201aa65f22025-01-06T14:27:37ZengWolters Kluwer Medknow PublicationsActa Medica International2349-05782349-08962024-12-0111324625110.4103/amit.amit_105_24A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed TomographySaurabh AtramAlka AgrawalYogita DixitManzillK. S. SuhasHema DhakadNeelesh PatelIntroduction: The jugular bulb (JB) is a key anatomical structure of the temporal bone that shows variability that can impact otologic surgeries and symptoms. This study aimed to assess the presence and characteristics of bulb variations with high-resolution computed tomography (HRCT) and their distribution across different demographics. Materials and Methods: A total of 400 patients undergoing HRCT of the temporal bone were ambispectively analyzed. JB variations, including high-riding JB, dehiscent JB, and JB diverticulum, were identified. Data were further analyzed based on gender, age, and unilateral versus bilateral presence. Results: High-riding JB was observed in 20% of the patients. Dehiscent JB and JB diverticulum were less frequently found in 3% and 0.25% of the cases, respectively. Significant gender differences were noted with high-riding JB more prevalent in females (27.9%) compared to males (15.9%). Age-related variations showed high-riding JB most frequently in the 10–30 year ages. The majority of JB variations were unilateral with a right-sided predominance. Conclusion: The presence of JB variations highlights the need for careful preoperative assessment in otologic surgeries to avoid complications. The significant findings of gender- and age-related differences in JB variations underscore the importance of personalized diagnostic approaches. This study reinforces the value of HRCT in the detailed evaluation of anatomy for optimized planning of surgeries and patient management.https://journals.lww.com/10.4103/amit.amit_105_24high-resolution computed tomographyjugular bulbjugular bulb variationspreoperative imaging assessmenttemporal bone anatomy
spellingShingle Saurabh Atram
Alka Agrawal
Yogita Dixit
Manzill
K. S. Suhas
Hema Dhakad
Neelesh Patel
A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
Acta Medica International
high-resolution computed tomography
jugular bulb
jugular bulb variations
preoperative imaging assessment
temporal bone anatomy
title A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
title_full A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
title_fullStr A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
title_full_unstemmed A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
title_short A Retrospective and Prospective Observational Study to Evaluate the Jugular Bulb Anatomical Variations Using High-resolution Computed Tomography
title_sort retrospective and prospective observational study to evaluate the jugular bulb anatomical variations using high resolution computed tomography
topic high-resolution computed tomography
jugular bulb
jugular bulb variations
preoperative imaging assessment
temporal bone anatomy
url https://journals.lww.com/10.4103/amit.amit_105_24
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