Pediatric Jugular Bulb Anomalies: Management Insights from Two Cases

Key points Jugular bulb anomalies are a rare but important cause of paediatric conductive hearing loss. Conductive hearing loss may persist despite tympanostomy tube placement. Preoperative recognition is essential to avoid potentially life-threatening intraoperative bleeding. Management strategies range from conservative monitoring to careful surgical intervention. First case: A 5-year-old boy with high-riding jugular bulb managed conservatively. Second case: An 8-year-old boy with jugular bulb dehiscence, complicated by intraoperative haemorrhage during middle ear exploration.