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Updated: Nov 7, 2025

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Cholesteatoma Surgery With a Dehiscent High Jugular Bulb Treated With Surgery Assisted With Underwater Endoscopy: A
Yusuke Takata1, Takashi Anzai1, Satoshi Hara1
1Department of Otorhinolaryngology, Juntendo University Faculty of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan.
Abstract:
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.

