Aberrant Nasopharyngeal Internal Carotid Artery: A Rare Case Report

Meltem Demirdağ Çevikkan, İrem Yazıcı, Uğur Kamiloğlu and Asım Aslan

Department of Otorhinolaryngology and Head and Neck Surgery, University of Manisa Celal Bayar Manisa, Turkey

^*Correspondance to: Asım Aslan 

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Abstract:

Aim: Internal carotid artery injuries during life-threatening procedures such as punch biopsy from the nasopharynx are a life-threatening risk for bleeding. The aim of this case is to draw attention to the fact that caution during the examination and suspicion of Aberrant Internal Carotid Artery (ICA) is the first and most important step in the management of nasopharyngeal masses. Case Report: A 72-year-old female patient presented with tinnitus in the left ear and hearing loss in both ears. The patient had a history of tinnitus in both ears and increased in the left ear for the last year. Bilateral otoscopy was normal in ENT examination, but nasal endoscopy was performed; in the nasopharynx, a submucosal, regular pulsatile mass was observed on the right side, moving up swallowing. Treatment and Prognosis: The patient was told that ICA may cause complaints such as difficulty in swallowing, foreign body sensation, pulsatile sound perception or mouth pulsation. Particularly in the cases of nasopharyngeal examination, surgical procedures and intubation may cause any bleeding and recommendations were made to the anesthesiologists to inform this situation.

Keywords:

Aberrant internal carotid artery, Nazopharynx; Aberrant

Cite the Article:

Çevikkan MD, Yazıcı İ, Kamiloğlu U, Aslan A. Aberrant Nasopharyngeal Internal Carotid Artery: A Rare Case Report. Ann Clin Case Rep. 2019; 4: 1772..