Laceration of Aberrant Internal Carotid Artery Following Myringotomy: A Case Report and Review of Literature

CONCLUSIONS: An aberrant ICA can cause life-threatening complications without prior diagnosis in a routine myringotomy. Suspicious exam findings should prompt temporal bone CT to rule out aberrant ICA or other vascular pathology of the middle ear prior to surgery. In the case of iatrogenic injury of an aberrant ICA, there is no consensus in existing literature on optimal management. We reviewed 37 studies to compare therapeutic options and subsequent outcomes. Though complications are rare regardless of management, cases in which solely packing was utilized demonstrated an increased incidence of hemiparesis, aphasia, hearing loss, re-bleeding, and delayed pseudoaneurysm, as compared to an approach coupling packing with embolization or ligation, both of which have comparable outcomes.PMID:34192882 | DOI:10.1177/00034894211028468

Source: The Annals of Otology, Rhinology, and Laryngology - July 1, 2021 Category: ENT & OMF Authors: Neha Wadhavkar David Y Goldrich Sudipta Roychowdhury Kelvin Kwong Source Type: research