Mycotic Aneurysm of the Extracranial Internal Carotid Artery Following Otitis Media

  • Janez MohorkoEmail author
  • Matic Glavan
  • Bogdan Čizmarevič
  • Boštjan Lanišnik
Clinical Report


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.


Epipharyngeal mass Mycotic aneurysm Endoscopic transnasal surgery 


Compliance with Ethical Standards

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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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Cervical and Maxillofacial SurgeryUniversity Medical Center MariborMariborSlovenia
  2. 2.Department of Otorhinolaryngology, Cervical and Maxillofacial Surgery, Faculty of MedicineUniversity of MariborMariborSlovenia

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