2000Practica Oto-Rhino-LaryngologicaOpen access

Aberrant Internal Carotid Artery; A Case Report.

Toshihide Atago, Masashi Imanaka, Yūzō Yamamoto, Hiroshi Takenaka

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Abstract

We report a rare case of an aberrant internal carotid artery running in the tympanic cavity. The patient was a 5-year-old girl with otitis media exudativa. During a myringotomy of the left ear, a profuse aural hemorrhage occurred. The bleeding was stopped by packing tightly with tampons. A CTscan revealed an aberrant internal carotid artery in the tympanic cavity. To avoid a faulty myringotomy, recognition of this entity is essential, and careful observation preoperatively under a microscope is required.

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What this paper is about

We report a rare case of an aberrant internal carotid artery running in the tympanic cavity. The patient was a 5-year-old girl with otitis media exudativa. During a myringotomy of the left ear, a profuse aural hemorrhage occurred. The bleeding was stopped by packing tightly with tampons. A CTscan revealed an aberrant internal carotid artery in the tympanic cavity. To avoid a faulty myringotomy, recognition of this entity is essential, and careful observation preoperatively under a microscope is required.

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Available abstract

We report a rare case of an aberrant internal carotid artery running in the tympanic cavity. The patient was a 5-year-old girl with otitis media exudativa. During a myringotomy of the left ear, a profuse aural hemorrhage occurred. The bleeding was stopped by packing tightly with tampons. A CTscan revealed an aberrant internal carotid artery in the tympanic cavity. To avoid a faulty myringotomy, recognition of this entity is essential, and careful observation preoperatively under a microscope is required.

Key concepts: Myringotomy, Internal carotid artery, Medicine, Tympanic cavity, Otitis, Carotid arteries, Surgery, Radiology

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