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[Otologic findings in the Apert syndrome]
D Lücke1, C Stroszczynski, S Gartenschläger
1Klinik für Hals-Nasen-Ohrenheilkunde, Charité, Campus Wirchow-Klinikum. Augustenburger Platz 1 13353 Berlin. dorothee.luecke@charite.de
Laryngo- Rhino- Otologie
|June 16, 2006
Summary
Apert syndrome patients may have congenital temporal bone malformations, including high jugular bulbs. Otorhinolaryngeal examination and CT scans are recommended before middle ear surgery in these individuals.
Area of Science:
- Otolaryngology
- Medical Imaging
- Genetics
Background:
- Apert syndrome, a craniosynostotic condition, is known for congenital temporal bone malformations.
- This case highlights potential otological complications associated with Apert syndrome.
Observation:
- A 13-year-old girl with Apert syndrome presented with bilateral high jugular bulbs, noted on CT scan.
- The right jugular bulb had a membranous boundary to the external ear canal, a rare finding.
Findings:
- The study found no increased incidence of high jugular bulbs in Apert syndrome compared to other craniosynostotic syndromes.
- However, diverse temporal bone malformations are anticipated in Apert syndrome.
Implications:
- Recommend pre-operative otorhinolaryngeal evaluation for all Apert syndrome patients.
- Suggest CT scans of temporal bones before middle ear surgery to identify potential anomalies like high jugular bulbs.

