{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:59:27Z","timestamp":1785761967005,"version":"3.56.0"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T00:00:00Z","timestamp":1334793600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112000564_sec1\"><jats:title>Objective:<\/jats:title><jats:p>We report an extremely rare case of an aberrant internal carotid artery in the middle ear, together with a dehiscent high jugular bulb, a combination never previously reported.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000564_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Case report with a review of the literature.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000564_sec3\"><jats:title>Results:<\/jats:title><jats:p>A 24-year-old man presented with a five-year history of aural fullness, pulsatile tinnitus and mild hearing impairment in his right ear. Otoscopy revealed a retro-tympanic mass. Computed tomography of the temporal bone revealed protrusion of the right internal carotid artery into the middle-ear cavity, with a dehiscent high jugular bulb. Magnetic resonance angiography showed a reduced diameter and lateralisation of the right internal carotid artery. A diagnosis of an aberrant internal carotid artery with a dehiscent high jugular bulb was made, and the patient was managed with conservative treatment.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000564_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>The otologist should be aware of the possibility of an aberrant internal carotid artery when the patient presents with a retro-tympanic mass, hearing loss and pulsatile tinnitus. Radiological investigation is required to make the differential diagnosis. When an aberrant internal carotid artery presents with a dehiscent high jugular bulb, the risk of serious bleeding is elevated. We recommend a conservative approach for cases presenting without bleeding complications.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112000564","type":"journal-article","created":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T11:57:52Z","timestamp":1334836672000},"page":"645-647","source":"Crossref","is-referenced-by-count":15,"title":["Aberrant internal carotid artery in the middle ear with dehiscent high jugular bulb"],"prefix":"10.1017","volume":"126","author":[{"given":"Y-Y","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C-H","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S-C","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H-C","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,4,19]]},"reference":[{"key":"S0022215112000564_ref7","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197207000-00008"},{"key":"S0022215112000564_ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000314755"},{"key":"S0022215112000564_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000226310.97316.99"},{"key":"S0022215112000564_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107000199"},{"key":"S0022215112000564_ref1","first-page":"1","article-title":"Aberrant internal carotid artery in the middle ear","volume":"192","author":"Windfuhr","year":"2004","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"key":"S0022215112000564_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.1.86"},{"key":"S0022215112000564_ref3","doi-asserted-by":"publisher","DOI":"10.1258\/0022215001903924"},{"key":"S0022215112000564_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2004.09.003"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112000564","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T21:27:03Z","timestamp":1556227623000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112000564\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,19]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["S0022215112000564"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112000564","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,19]]}}}