Aberrant Internal Carotid Artery in a Patient with Secretory Otitis Media: Case Study
https://doi.org/10.15690/pf.v22i4.2934
Abstract
Aberrant internal carotid artery is rare congenital anomaly when this vessel is located lateral to its typical location. It can take significant part of tympanic cavity and in some cases adjoin to eardrum medial surface. One of the most common theories on its etiology is the development of bypassing vessels due to agenesia of the first embryonic segment of internal carotid artery. Its prevalence in population is 1%. The aberrant internal carotid artery has been revealed after massive bleeding during myringotomy or as an incidental finding during computed tomography, based on foreign literature. This article presents rare clinical case of aberrant carotid artery and comorbid secretory otitis media. Case study of 4 years old child with asymptomatic course of internal carotid artery anomaly. Its underdiagnosis at preoperative stage could lead to fatal massive bleeding. Alternative method of secretory otitis media management with high risks of tympanostomy is presented. It included prolonged tympanic cavity drainage via silicone microcatheter installed in pharyngeal opening of the Eustachian tube. This combination of aberrant carotid artery and secretory otitis media requires of doctor to be more alerted careful at any manipulations (even the most routine). Temporal bones computed tomography should be included in the mandatory range of examinations for all patients diagnosed with secretory otitis media who are planning surgery in tympanic cavity.
About the Authors
Dmitry V. Spekov
Saint Petersburg Research Institute of Ear, Throat, Nose and Speech
Russian Federation
Disclosure of interest:
Russian Federation
Dmitriy V. Spekov, MD
9, Bronnitskaya Str., St. Petersburg, 190013, +7 (965) 023-92-42
Disclosure of interest:
Not declared.
Marina V. Drozdova
Saint Petersburg Research Institute of Ear, Throat, Nose and Speech
Russian Federation
Disclosure of interest:
Russian Federation
MD, PhD
Saint Petersburg
Disclosure of interest:
Not declared.
Igor A. Anikin
Saint Petersburg Research Institute of Ear, Throat, Nose and Speech
Russian Federation
Disclosure of interest:
Russian Federation
MD, PhD, Professor
Saint Petersburg
Disclosure of interest:
Not declared.
Sergey N. Il’in
Saint Petersburg Research Institute of Ear, Throat, Nose and Speech
Russian Federation
Disclosure of interest:
Russian Federation
MD, PhD
Saint Petersburg
Disclosure of interest:
Not declared.
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Review
For citations:
Spekov D.V., Drozdova M.V., Anikin I.A., Il’in S.N. Aberrant Internal Carotid Artery in a Patient with Secretory Otitis Media: Case Study. Pediatric pharmacology. 2025;22(4):391-394. (In Russ.) https://doi.org/10.15690/pf.v22i4.2934
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