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CONGENITAL ARTERIOVENOUS FISTULA IN THE TYMPANUM

CONGENITAL ARTERIOVENOUS FISTULA IN THE TYMPANUM Abstract The case presented in this paper is one of congenital arteriovenous fistula of the jugular bulb and the internal carotid artery in the right ear, characterized by deafness and a constant pounding noise in the right side of the head since childhood, total absence of the bony floor of the tympanum and the external canal, the presence in the tympanum and external canal of an occluding, pinkish-blue pulsating mass and, finally, spontaneous hemorrhage at the age of 24. Congenital arteriovenous aneurysm unassociated with nevus is rare. Halsted1 found only 2 examples without nevus and 6 with nevus in the review of 400 cases in 1918. I am unable to find in the literature the report of any case of congenital fistula between the jugular bulb and the internal carotid artery. This is particularly surprising in view of the origin and development of those two vessels and their anatomic proximity. References 1. Halsted, William Stewart: Surgical Papers , Baltimore, The Johns Hopkins Press, 1918, vol. 1, p. 476. 2. Sabin, F. R.: Origin and Development of the Primitive Vessels of the Chick and Pig , Contrib. Embryol. , no. 18, pub. 226, Carneg. Inst., Washington 3. Origin and Development of the Lymphatic System, Johns Hopkins Hospital Reprints, Monographs in Series V. 4. Barth, von A.: Ztschr. f. Ohrenh. 20:136, 1889. 5. Korner: Arch. f. Ohrenh. 30:169, 1889.Crossref 6. Toynbee: Catalogue Descriptive , London, 1857, p. 44. 7. Zuckerkandl: Monatschr. f. Ohrenh. 7:81, 1874. 8. Zaupal, E.: Arch. f. Ohrenh. 2:30, 1867. 9. Drury, D. W.: Boston M. & S. J. 195:657, 1926. 10. Reid, M. R.: Studies on Abnormal Arteriovenous Communications, Acquired and Congenital: Report of a Series of Cases , Arch. Surg. 10:601 ( (March) ) 1925 11. Abnormal Arteriovenous Communications, Acquired and Congenital; Origin and Nature of Arteriovenous Aneurysms, Cirsoid Aneurysms and Simple Angiomas , Arch. Surg. 10:996 ( (May) ) 1925 12. Abnormal Arteriovenous Communications, Acquired and Congenital; Treatment of Abnormal Arteriovenous Communications , Arch. Surg. 11:237 ( (Aug.) ) 1925. 13. Dufourmentel: Presse méd. 25:50, 1917. 14. Patel and Lannois: Lyon méd. 124:227, 1917. 15. Grégoire: Ligature du canal inter-carotidien jugulaire près de la veinejugulaire , Lyon chir. 14:625 ( (July) -Aug.) 1917. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

CONGENITAL ARTERIOVENOUS FISTULA IN THE TYMPANUM

Archives of Otolaryngology , Volume 10 (1) – Jul 1, 1929

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1929 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1929.00620040042004
Publisher site
See Article on Publisher Site

Abstract

Abstract The case presented in this paper is one of congenital arteriovenous fistula of the jugular bulb and the internal carotid artery in the right ear, characterized by deafness and a constant pounding noise in the right side of the head since childhood, total absence of the bony floor of the tympanum and the external canal, the presence in the tympanum and external canal of an occluding, pinkish-blue pulsating mass and, finally, spontaneous hemorrhage at the age of 24. Congenital arteriovenous aneurysm unassociated with nevus is rare. Halsted1 found only 2 examples without nevus and 6 with nevus in the review of 400 cases in 1918. I am unable to find in the literature the report of any case of congenital fistula between the jugular bulb and the internal carotid artery. This is particularly surprising in view of the origin and development of those two vessels and their anatomic proximity. References 1. Halsted, William Stewart: Surgical Papers , Baltimore, The Johns Hopkins Press, 1918, vol. 1, p. 476. 2. Sabin, F. R.: Origin and Development of the Primitive Vessels of the Chick and Pig , Contrib. Embryol. , no. 18, pub. 226, Carneg. Inst., Washington 3. Origin and Development of the Lymphatic System, Johns Hopkins Hospital Reprints, Monographs in Series V. 4. Barth, von A.: Ztschr. f. Ohrenh. 20:136, 1889. 5. Korner: Arch. f. Ohrenh. 30:169, 1889.Crossref 6. Toynbee: Catalogue Descriptive , London, 1857, p. 44. 7. Zuckerkandl: Monatschr. f. Ohrenh. 7:81, 1874. 8. Zaupal, E.: Arch. f. Ohrenh. 2:30, 1867. 9. Drury, D. W.: Boston M. & S. J. 195:657, 1926. 10. Reid, M. R.: Studies on Abnormal Arteriovenous Communications, Acquired and Congenital: Report of a Series of Cases , Arch. Surg. 10:601 ( (March) ) 1925 11. Abnormal Arteriovenous Communications, Acquired and Congenital; Origin and Nature of Arteriovenous Aneurysms, Cirsoid Aneurysms and Simple Angiomas , Arch. Surg. 10:996 ( (May) ) 1925 12. Abnormal Arteriovenous Communications, Acquired and Congenital; Treatment of Abnormal Arteriovenous Communications , Arch. Surg. 11:237 ( (Aug.) ) 1925. 13. Dufourmentel: Presse méd. 25:50, 1917. 14. Patel and Lannois: Lyon méd. 124:227, 1917. 15. Grégoire: Ligature du canal inter-carotidien jugulaire près de la veinejugulaire , Lyon chir. 14:625 ( (July) -Aug.) 1917.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jul 1, 1929

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