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A Revisit to High Jugular Bulb: A Newer Clinical Grading

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

A revisit to high riding jugular bulb with a newer classification. Observational study. Patients in the age group between 15 to 60 years, who underwent various Tympanomastoid and otosclerotic surgeries from April 2015 to 2018, have been included in the study. An analysis was made on high riding jugular bulb which encountered and different anatomical variations were noticed. A total of 531 patients underwent various tympanomastoid surgeries and 48 patients underwent otosclerotic surgeries. Out of which 8% of the cases (n = 49) were noticed to have high riding jugular bulb. In those 49 cases, 81% (n = 37) have Grade I, 11% (n = 5) have Grade II, 6% (n = 3) have grade III, 6% of the case (n = 3) have Grade IV and 2% (n = 1) has Grade V high riding Jugular bulb. Among these the prevalence of Grade I jugular bulb is high followed by Grade II. With the observation of our clinical study the authors have made a revisit to high riding jugular bulb and proposed a new clinical grading for high jugular bulb called BPH, that is Basava Prasad’s grading clinical on High jugular bulb (Channa Basava Hubli and K. C. Prasad) as: Grade I high riding jugular bulb up to the level of inferior tympanic annulus. Grade II extending from the level of tympanic annulus up to the inferior margin of the round window niche. Grade III Completely obliterating the round window niche. Grade IV Lies between superior margin of round window niche and stapes. Grade V Abuting the Stapes Arch.

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Acknowledgements

We are thankful to Dr S. M. Azeem Mohiyuddin Head of ENT and Head and Neck Surgery, Sri Devaraj Urs Medical College, Tamaka, Kolar for his helpful discussion and technical expertise. My sincere and great thanks for Jagan O. A., Lecturer, Clinical Virology Department, Amrita Institute of Medical Science and Research for supporting me and helping in editing the article.

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Authors and Affiliations

  1. Department of ENT and HNS, Sri Devraj Urs Medical College and Research Centre, Tamka, Kolar, India

    Kothegala Chandrashekariah Prasad, Gopi Induvarsha, R. T. Harshita & Balan Kumar Ashok

  2. Department of ENT, Vinayaka Hospital, Hospete, India

    Channa Hubli Basava

  3. Department of ENT, Pushpagiri Institute of medical Sciences and Research Centre, Thiruvalla, India

    Pillai N. Gopinathan

Authors
  1. Kothegala Chandrashekariah Prasad
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  2. Channa Hubli Basava
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  3. Pillai N. Gopinathan
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  4. Gopi Induvarsha
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  5. R. T. Harshita
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  6. Balan Kumar Ashok
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Contributions

Indu Varsha Gopi: Contributed to the design of study, collected samples, did data analysis and drafted the manuscript. Corresponding author for the manuscript.; K. C. Prasad: Contributed to the design of study, data analysis, helped frame and edited the manuscript; Channa Basava Hubli: Contributed to the design of study, data analysis, helped frame and edited the manuscript; Gopinathan Pillai: Contributed to the design of study, data analysis, helped frame and edited the manuscript; Harshitha T. R.: Contributed to the design of study, data analysis, helped frame and edited the manuscript; Balan Ashok Kumar: Contributed to the design of study, data analysis, helped frame and edited the manuscript.

Corresponding author

Correspondence to Gopi Induvarsha.

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The authors declare no conflict of interest or commercial affiliation related to this study.

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Prasad, K.C., Basava, C.H., Gopinathan, P.N. et al. A Revisit to High Jugular Bulb: A Newer Clinical Grading. Indian J Otolaryngol Head Neck Surg 70, 527–530 (2018). https://doi.org/10.1007/s12070-018-1456-7

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  • DOI: https://doi.org/10.1007/s12070-018-1456-7

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