Section: 
Otiology
OtiologyFormation of pseudoaneurysm of internal carotid artery after tympanoplasty
Kh. M. Diab (1), O. A. Pashchinina (2), D. S. Kondratchikov (3), A. G. Zukhba (4), N. E. Pirogova (5), A. M. Shamkhalova (6)
(1), (2), (3), (4), (5), (6) Otorhinolaryngology Medical Research Center of the Federal Medico-Biological Agency, Moscow, 123182, Russian Federation
UDK: УДК 616.133.3-007.649:616.285-089.844
DOI: https://doi.org/10.18692/1810-4800-2024-5-56-63
ABSTRACT
Abstract. There are many reports in the literature about iatrogenic damage to the internal carotid artery during endoscopic interventions on the sphenoid sinus and the anterior base of the skull. Pseudoaneurysms of the rocky part of the internal carotid artery can occur against the background of divergence of the artery walls due to trauma, invasive tumors, or as a complication of surgical intervention. A rare surgical complication in the form of a rupture of the carotid artery in the petrous segment may occur during a myringotomy, during surgery on the middle ear or in the area of the apex of the petrous part of the temporal bone. Objective. To describe a clinical case of chronic purulent otitis media in a patient with lateralization of the petrous segment of the internal carotid artery and the formation of a pseudoaneurysm after damage to the artery wall during tympanoplasty. Conclusions. Knowledge about the variant anatomy of the internal carotid artery has direct clinical significance. When performing any diagnostic and therapeutic manipulations on the vessels of the internal carotid artery basin, it is necessary to take into account the individual features of the structure and topography of the internal carotid artery, which will avoid medical errors and complications. Based on the literature data, endovascular methods of treating pseudoaneurysms of the internal carotid artery are preferable to surgical treatment. For small aneurysms, clinical monitoring and computed tomography are recommended.
Publication date:
17.10.2024
Keywords:
tympanoplasty, internal carotid artery, pseudoaneurysm For citation:
Diab Kh. M., Pashchinina O. A., Kondratchikov D. S., Zukhba A. G., Pirogova N. E., Shamkhalova A. M. Formation of pseudoaneurysm of internal carotid artery after tympanoplasty. Russian Otorhinolaryngology. 2024;23(5):56-63. (In Russ.) https://doi.org/10.18692/1810-4800-2024-5-56-63