{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:17:22Z","timestamp":1782789442466,"version":"3.54.5"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":3741,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1997,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In order to study high jugular bulb management in lateral skull base surgery, an anatomical study was conducted on 30 temporal bones by examining the relationship between the internal auditory canal (IAC) and the jugular bulb. The following parameters were measured: 1) Height of the jugular bulb (H) \u2026 distance between the level of the jugular bulb dome and the line passing through the confluence of the sigmoid sinus with the jugular bulb (SS-JB), 2) Mastoid length (ML) \u2026 distance between the mastoid process and middle cranial fossa dura, 3) Distance between the most inferior part of the porus acousticus and jugular bulb dome (A), 4) Distance between the porus acousticus and SS-JB (B). The jugular bulb was defined as high when it occupied more than two thirds of (B). The incidence of a high jugular bulb was 23 per cent in this study. When the jugular bulb was high, the mean (H) and (A) were 9.4 \u00b1 1.9 mm and 2.7 \u00b1 0.5 mm, respectively. (H) was higher on the right side than on the left side. No statistically significant difference was found between small and large mastoids (<jats:italic>t<\/jats:italic>-test: p&gt;0.05). It was concluded that when a high jugular bulb was encountered during lateral skull base surgery, the jugular bulb position allows a very small working area inferior to the IAC. In these cases, a 3 or 4 mm depression of the jugular bulb is necessary in order to expose the lower cranial nerves. This can be accomplished by lowering the jugular bulb with the technique already described.<\/jats:p>","DOI":"10.1017\/s0022215100137247","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:13:37Z","timestamp":1196417617000},"page":"333-336","source":"Crossref","is-referenced-by-count":26,"title":["Anatomical considerations of high jugular bulb in lateral skull base surgery"],"prefix":"10.1017","volume":"111","author":[{"given":"Asim","family":"Aslan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio","family":"Falcioni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Russo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe De","family":"Donato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih Ridvan","family":"Balyan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkader","family":"Taibah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Sanna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100137247_ref019","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199301000-00005"},{"key":"S0022215100137247_ref014","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200204"},{"key":"S0022215100137247_ref005","doi-asserted-by":"publisher","DOI":"10.1007\/BF00186230"},{"key":"S0022215100137247_ref001","first-page":"557","volume-title":"Meni\u00e8re's Disease: Perspectives in the 90's","author":"Aristegui","year":"1994"},{"key":"S0022215100137247_ref016","doi-asserted-by":"publisher","DOI":"10.1177\/019459989411000408"},{"key":"S0022215100137247_ref015","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700608"},{"key":"S0022215100137247_ref017","doi-asserted-by":"publisher","DOI":"10.1177\/000348949510400109"},{"key":"S0022215100137247_ref010","first-page":"1","article-title":"Anatomy of the brainstem and the lower cranial nerves, vessels, and surrounding structures","author":"Lang","year":"1985","journal-title":"American Journal of Otology"},{"key":"S0022215100137247_ref002","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1995.83.5.0903"},{"key":"S0022215100137247_ref018","first-page":"37","volume-title":"Atlas of Temporal Bone and Lateral Skull Base Surgery","author":"Sanna","year":"1995"},{"key":"S0022215100137247_ref023","doi-asserted-by":"publisher","DOI":"10.1177\/028418518602700312"},{"key":"S0022215100137247_ref022","first-page":"257","volume-title":"Acoustic Neuroma","author":"Turgut","year":"1992"},{"key":"S0022215100137247_ref021","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100119942"},{"key":"S0022215100137247_ref011","first-page":"165","volume-title":"Pathology of the Ear and Temporal bone","author":"Nager","year":"1993"},{"key":"S0022215100137247_ref020","first-page":"50","volume-title":"Mastoid Surgery and Reconstructive Procedures","volume":"2","author":"Tos","year":"1995"},{"key":"S0022215100137247_ref012","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198802000-00003"},{"key":"S0022215100137247_ref008","first-page":"511","volume-title":"Neurological Surgery of the Ear and the Skull Base","author":"Kumar","year":"1989"},{"key":"S0022215100137247_ref003","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197701000-00013"},{"key":"S0022215100137247_ref009","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058933"},{"key":"S0022215100137247_ref004","first-page":"605","volume-title":"Otologic Surgery","author":"House","year":"1994"},{"key":"S0022215100137247_ref013","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197312000-00008"},{"key":"S0022215100137247_ref006","doi-asserted-by":"publisher","DOI":"10.1177\/019459988609400102"},{"key":"S0022215100137247_ref007","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1060560"}],"container-title":["The Journal of Laryngology &amp; 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