Diagnosis and Treatment of the Carotid Artery in the Middle Ear

A n aberrant presence of the internal carotid artery (ICA) in the middle ear is a rare condition that results from injury or infection eroding the medial wall of the middle ear, a congenital anomaly, or an aneurysmal dilatation of this vessel in its petrous portion. Because this anatomic aberration is rare, it is frequently misdiagnosed, subjecting patients to surgical exploration for an erroneous diagnosis. There are many reports of intraoperative attempts to remove a suspected vascular tumor or middle ear effusion creating massive hemorrhage or cerebrovascular accidents as a result of misdiagnosing an aberrant carotid artery. '-lo Presented here is a safe and reliable method of intraoperative diagnosis based o n two encounters with dehiscent carotid arteries in the middle ear.

[1]  G. Debrun,et al.  Experimental approach to the treatment of carotid cavernous fistulas with an inflatable and isolated balloon , 1975, Neuroradiology.

[2]  N. Yanagihara,et al.  Aberrant carotid artery in the middle ear , 2004, Archives of oto-rhino-laryngology.

[3]  R. R. Smith,et al.  Transcranial Doppler monitoring of cerebral flow velocities during surgical occlusion of the carotid artery. , 1989, Neurosurgery.

[4]  C L Dumoulin,et al.  Quantitative flow measurement in phase contrast MR angiography. , 1988, Journal of computer assisted tomography.

[5]  J. Mcelveen,et al.  Aberrant Internal Carotid Artery: Classic Findings on Computed Tomography , 1986 .

[6]  R. Spetzler,et al.  Revascularization and Aneurysm Surgery: Current Status , 1985, Neurosurgery.

[7]  N. Cohen,et al.  Arterial Malformations of the Middle Ear , 1984, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[8]  T. Sundt,et al.  Ectopic internal carotid artery seen initially as middle ear tumor. , 1983, JAMA.

[9]  R. Latchaw,et al.  Aberrant carotid artery injured at myringotomy. Control of hemorrhage by a balloon catheter. , 1983, JAMA.

[10]  L Kaufman,et al.  Evaluation of NMR Imaging for Detection and Quantification of Obstructions in Vessels , 1982, Investigative radiology.

[11]  N. Patronas,et al.  Some examples of balloon technology in neurosurgery. , 1980, Journal of neurosurgery.

[12]  M. Glasscock,et al.  Vascular anomalies of the middle ear , 1980, The Laryngoscope.

[13]  C. Suter,et al.  Tympanometry in the Evaluation of Vascular Lesions of the Middle Ear and Tinnitus of Vascular Origin , 1979, The Laryngoscope.

[14]  R. A. Buckingham,et al.  Middle Ear Masses Mimicking Glomus Tumors: Radiographic and Otoscopic Recognition , 1974, The Annals of otology, rhinology, and laryngology.

[15]  A. Glasgold,et al.  The internal carotid artery presenting as middle ear tumor , 1972, The Laryngoscope.

[16]  R. C. Reed,et al.  Symposium on ear surgery. V. Treatment of aberrant carotid arteries in the middle ear: A report of two cases , 1972, The Laryngoscope.

[17]  M. Schechter,et al.  Aneurysms of the internal carotid artery in the carotid canal of the petrous temporal bone. , 1972, Radiology.

[18]  N. Goldman,et al.  Aberrant internal carotid artery presenting as a mass in the middle ear. , 1971, Archives of otolaryngology.

[19]  M. Lapayowker,et al.  Presentation of the internal carotid artery as a tumor of the middle ear. , 1971, Radiology.

[20]  A. Sahs.  Intracranial aneurysms and subarachnoid hemorrhage : a cooperative study , 1969 .

[21]  G. W. Smith,et al.  Extracranial carotid aneurysm. Report of four cases. , 1966, Journal of neurosurgery.

[22]  A. B. Lemesurier.  EROSION HAEMORRHAGE FROM THE INTERNAL CAROTID ARTERY. , 2022, Canadian Medical Association journal.