We present a rare case of a 50-year-old female patient with symptomatic high mega jugular bulb requiring surgery. We review her medical file, preoperative and postoperative imaging, audiograms, and surgical report. High jugular bulb was diagnosed with computed tomography and magnetic resonance imaging. Symptoms of facial nerve palsy and headache were abolished after surgical procedure. Headache and facial nerve palsy can be caused by high mega jugular bulb. Surgery is indicated in such symptomatic cases and leads to relief of signs and symptoms of disease.

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The existence of the alveolar process depends on the development of teeth. In edentulous maxillae, the alveolar process disappears in general in the region of incisives, canines and eventually premolars, but it persists in over 80% of cases in the region of molars. The persistence of the alveolar process correlates with the pneumatisation of the alveolar process by the alveolar recess of the maxillary sinus. The sinus may invade the whole alveolar process or only part of it so that in its lower part a thicker bone layer persists. Very rarely the alveolar process disappears completely with the loss of teeth. The deepest recess of the maxillary sinus corresponds to the level of the zygomatic process i.e. to the region of the first and second molar teeth.

We report a case in which Lipiodol Ultra Fluid (UF) leaked from an iatrogenic perforation of Stensen's canal and constituted a foreign body in the cheek. The distribution of contrast medium near the lower border of the mandible seems unusual. Two years after sialography it was still not being resorbed. No radiological signs of reactive inflammatory changes of soft tissue were observed. We think that the contrast agent arrived beneath the skin but external to the platysma through a simple perforation in either the duct and/or the mucosa.

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