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Tortuous Internal Carotid Artery Presenting as an Oropharyngeal Mass : A Case Report  

Kim, Il-Kang (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital)
Yum, Dong-Jin (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital)
Kang, Jae-Ho (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital)
Park, Sung-Ho (Department of Otolaryngology-Head & Neck Surgery, Seoul Veterans Hospital)
Publication Information
Korean Journal of Head & Neck Oncology / v.23, no.2, 2007 , pp. 178-180 More about this Journal
Abstract
Tortuosity of the internal carotid artery is not a rare condition. A 68-year-old woman presented with a 3 years' history of a pulsatile tinnitus and throat abnormal sensation. On physical examination, a soft pulsatile mass on the left posterior oropharyngeal wall was noted. By neck CT and neck MRI the tortuous internal carotd artery was visualized. Otolaryngologists should recognize this anomaly and the patient should be made aware of their condition, because it may cause a fatal or near-fatal hemorrhage during surgical procedures in the pharynx, especially tonsillectomy and adenoidectomy and drainage of peritonsillar abscess. We report a case of a left internal carotid artery tortuosity as an oropharyngeal mass.
Keywords
Tortuosity; Internal carotid artery;
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