Ectopic internal carotid artery presenting as an oropharyngeal mass

Prokopakis, Emmanuel P.; Bourolias, Constantinos; Bizaki, Argyro; Karampekios, Spyros; Velegrakis, George A.; Bizakis, John G.

doi:10.1186/1746-160x-4-20

Cited by 22 publications

(24 citation statements)

References 9 publications

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“…These procedures are less invasive than an angiogram. The ectopic ICA poses a risk in major oropharyngeal tumour resection and other less extensive procedures, such as tonsillectomy, adenoidectomy and uvulo-palato-pharyngoplasty (18,19). Our three cases were tortuous and ectopic internal carotid artery.…”

Section: Discussionmentioning

confidence: 94%

Rare Tumours and Tumour-like Lesions of Pharynx That Cause Dysphagia

Bayarogullari¹,

Çevik²,

Akbay³

et al. 2013

Turk Arch Otolaryngol

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Objective: The aim of this article is to discuss rarely encountered tumours and tumorous masses at the different levels of pharynx that were diagnosed in patients admitted to our hospital with the complaint of dysphagia.Methods: Twenty-one cases with masses causing dysphagia at the oropharyngeal, hypo-pharyngeal and laryngeal levels were identified among patients admitted to our hospital with the complaint of difficulty with swallowing between the years 2009 and 2011. Detailed anamneses and physical examinations were performed. In addition, for the purpose of diagnosis, the following were applied: Magnetic Resonance Imaging with and without contrast, Computerized Tomography, Three-Dimensional Computerized Tomography, Multiple row-Detector Computerized Tomography, MR Angiography and 99m Tc Scintigraphy.Results: Twenty-one patients, 12 women (57.1%) and 9 men (42.9%), were included in the study. Their mean age was 49.23±32.71 years old (min. 15-max. 80). There was partial obstruction at the oropharyngeal level in 11 cases; there was partial obstruction at the laryngeal and hypopharyngeal level in the other 10 cases. Conclusion:A detailed history and examination along with endoscopic, radiological and laboratory evaluations are important for early diagnosis and management of rare tumours and tumour-like lesions of the oropharynx and neck causing dysphagia.

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Section: Discussionmentioning

confidence: 94%

Rare Tumours and Tumour-like Lesions of Pharynx That Cause Dysphagia

Bayarogullari¹,

Çevik²,

Akbay³

et al. 2013

Turk Arch Otolaryngol

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“…[28] The sharp bend of ICA is called kinking and undulation, elongation, redundancy and S-shaped curve are called tortuosity. [29] Aberrant carotid artery may cause fatal complications during routine otolaryngology procedures such as tonsillectomy, peritonsillar and retropharyngeal abscess drainage, biopsy and pharyngoplasty. In all oral lesions, caution should be taken especially when there is a palpable pulsation or bruit to prevent massive bleeding.…”

Section: Discussionmentioning

confidence: 99%

A retropharyngeal abscess caused by Francisella tularensis with an aberrant internal carotid artery on the same side

Kılıç¹

2017

KBB Uygulamaları

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ABSTR ACTTularemia is a rare zoonotic disease caused by Francisella tularensis, which is a pathogenic spp. of Gram-negative, noncapsular, aerobic coccobacillus. Insect or rodent bite, contact with animals, consuming contaminated animal products, and water may be the routes of transmission. This bacterial infection has a significant place in the otolaryngology practice, as some patients with tularemia have signs and symptoms localized in the head and neck. In this article, we report a 60-year-old female patient with a four-month history of sore throat, dysphagia, right-sided neck mass, and fever. Radiological studies revealed a retropharyngeal abscess with a right-sided aberrant internal carotid artery. To the best of our knowledge, this is the first case of a retropharyngeal abscess caused by Francisella tularensis with an aberrant internal carotid artery on the same side.

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“…Aberrant ICA is an uncommon variant that accounts for 5% of incidental occurrences in the neck 1. It has been classified based on its ectopic position or presence of neoplasms 3. The ectopic variation is commonly seen in the temporal bone and is either tortuous or kinking.…”

Section: Descriptionmentioning

confidence: 99%

“…The ectopic variation is commonly seen in the temporal bone and is either tortuous or kinking. A sharp bend denotes kinking whereas curving, elongation, undulation and redundancy denote tortuosity 2 3. Aberrant ICA develops either as a congenital deformity or due to degenerative vessel wall changes such as hypertension, fibromuscular dysplasia and atherosclerosis 2 3.…”

Section: Descriptionmentioning

confidence: 99%

“…A sharp bend denotes kinking whereas curving, elongation, undulation and redundancy denote tortuosity 2 3. Aberrant ICA develops either as a congenital deformity or due to degenerative vessel wall changes such as hypertension, fibromuscular dysplasia and atherosclerosis 2 3. Patients may be asymptomatic or may present with a foreign body sensation in the throat, dysphagia or change of voice 2 3.…”

Section: Descriptionmentioning

confidence: 99%

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