Aberrant parapharyngeal internal carotid artery: a case series

Yıl 2015, Cilt: 25 Sayı: 6, 361 - 366, 30.12.2015

Sabuhi Jafarov Serhat İnan Erdinç Aydın

Öz

In this article, we report eight elderly cases who were diagnosed with aberrant internal carotid artery at the Department of Otorhinolaryngology and Head and Neck Surgery of Başkent University Ankara Hospital. Three cases had dysphagia, two cases had foreign body sensation in the throat, one case had increased tinnitus, and one case had complaints of aspiration which was not previously reported in the literature and chocking sensation. One patient was asymptomatic. Five cases had kink form of aberrant parapharyngeal internal carotid artery, one case had tortuosity and one case had both tortuosity and kink form. In one case, internal carotid artery was in form of 90 degrees angle in the right side and S-shaped in the left side, which was not described in the classification.

Anahtar Kelimeler

Aberrant, case series, internal carotid artery

Aberan parafarengeal internal karotis arter: Olgu serisi

Öz

Bu yazıda Başkent Üniversitesi Ankara Hastanesi Kulak Burun Boğaz ve Baş-Boyun Cerrahisi Ana Bilim Dalı’nda aberan internal karotis arter tanısı konulan sekiz ileri yaşlı olgu sunuldu. Üç olguda yutkunma zorluğu, iki olguda boğazda takılma hissi, bir olguda çınlamada artış ve bir olguda literatürde daha önce bildirilmeyen aspirasyon ve boğulma hissi yakınması vardı. Bir olgu ise asemptomatikti. Beş olguda aberan parafarengeal internal karotis arterin bükülmesi, bir olguda eğrilik, bir olguda hem bükülme hem de eğrilik formu gözlendi. Bir olguda ise, internal karotis arter sınıflamada tarif edilmeyen sağda 90 derece açılı, solda ise “S” şekilliydi

Anahtar Kelimeler

Aberan, olgu serisi, internal karotis arter

Kaynakça

• Wasserman JM, Sclafani SJ, Goldstein NA. Intraoperative evaluation of a pulsatile oropharyngeal mass during adenotonsillectomy. Int J Pediatr Otorhinolaryngol 2006;70:371-5.
• Van Abel KM, Carlson ML, Moore EJ. Symptomatic internal carotid artery medialization: a rare anatomic variant resulting in cough, dysphonia, and dysphagia. Clin Anat 2013;26:966-70.
• Pfeiffer J, Ridder GJ. A clinical classification system for aberrant internal carotid arteries. Laryngoscope 2008;118:1931-6.
• Plonk DP, Browne JD. Internal carotid artery in zone IIb and its implications: A case report. Ear Nose Throat J 2013;92:15-6.
• Ozgur Z, Celik S, Govsa F, Aktug H, Ozgur T. A study of the course of the internal carotid artery in the parapharyngeal space and its clinical importance. Eur Arch Otorhinolaryngol 2007;264:1483-9.
• Vega J, Gervas C, Vega-Hazas G, Barrera C, Biurrun C. Internal carotid artery transposition: another cause of widening of the retropharyngeal space. Eur Radiol 1999;9:347-8.
• Paulsen F, Tillmann B, Christofides C, Richter W, Koebke J. Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications. J Anat 2000;197:373-81.
• Herrschaft H. Abnormal tortuosity of the internal carotid artery and its clinical significance in surgery of the neck area. Z Laryngol Rhinol Otol 1969;48:85-98. [Abstract]
• Schenk P, Temmel A, Trattnig S, Kainberger F. Current aspects in diagnosis and therapy of carotid artery kinking. HNO 1996;44:178-85. [Abstract]
• Iwasaki S, Fujishiro Y, Abbey K. Glossopharyngeal neuralgia associated with aberrant internal carotid artery in the oropharynx. Ann Otol Rhinol Laryngol 2002;111:193-5.
• Tsuiki S, Isono S, Ishikawa T, Yamashiro Y, Tatsumi K, Nishino T. Anatomical balance of the upper airway and obstructive sleep apnea. Anesthesiology 2008;108:1009-15.
• Picel AC, Davidson TM. An aberrant internal carotid artery discovered during evaluation of obstructive sleep apnea: a report of 2 cases with consideration of a possible association. Ear Nose Throat J 2011;90:29-31.
• Galletti B, Bucolo S, Abbate G, Calabrese G, Romano G, Quattrocchi C, et al. Internal carotid artery transposition as risk factor in pharyngeal surgery. Laryngoscope 2002;112:1845-8.
• Srinivasan S, Ali SZ, Chwan LT. Aberrant retropharyngeal (submucosal) internal carotid artery: an under-recognized, clinically significant variant. Surg Radiol Anat 2013;35:449-50.
• Aydin E, Akkuzu G, Akkuzu B, Ozlüoglu LN. Tortuous internal carotid artery indenting the piriform sinus: a case report. Eur Arch Otorhinolaryngol 2005;262:351-2.