Mycotic Aneurysm of the Extracranial Internal Carotid Artery Following Otitis Media
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Mycotic aneurysm of the internal carotid artery following otomastoiditis can manifest as a nasopharyngeal mass. This is a very rarely described condition. The case of a patient diagnosed with a retropharyngeal mycotic aneurysm of the left internal carotid artery following otitis media, treated with exclusion of the mycotic aneurysm from the circulation and transnasal drainage. Infection of the mastoid can spread to the parapharyngeal space of the nasopharynx and damage the carotid artery wall, resulting in an infected aneurysm. There are no guidelines on how to surgically approach those aneurysms. An endoscopic transnasal approach can be beneficial.
KeywordsEpipharyngeal mass Mycotic aneurysm Endoscopic transnasal surgery
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Conflict of interest
The authors declare that they have no conflict of interest.
Ethics Committee Approval
The policy of the Ethics committee at UMC Maribor* is not to review case reports. *Name of the ethics committee: Komisija za medicinsko etiko UKC Maribor.
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