scholarly journals A TUMOR BIOPSY OF THE PARAPHARYNGEAL SPACE, COMPLICATED BY MASSIVE BLEEDING, WHICH REQUIRED URGENT TRACHEOSTOMY AND DRESSING OF THE EXTERNAL CAROTID ARTERY

2018 ◽  
Vol 17 (2) ◽  
pp. 100-102
Author(s):  
O. H. Plaksyvyy ◽  
I. V. Kalutsʹkyy ◽  
O. O. Mazur ◽  
M. M. Sorokhan
Keyword(s):  
Carotid Artery ◽  
Histological Examination ◽  
Rare Diseases ◽  
Rare Case ◽  
Clinical Case ◽  
Parapharyngeal Space ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
Tumor Biopsy

The article describes a rare case of rhabdomyoma parapharyngeal space. A peculiarity of the clinical case is the appearance after the biopsy of massive pharyngeal bleeding from the leak into the larynx, which required urgent tracheostomy and dressing of the external carotid artery. The tumor is removed by external access, a week after the elimination of complications. The result of histological examination is rhabdomyoma. The tumor of the parapharyngeal space occurs periodically, however rhabdomyomas are rare diseases.

scholarly journals CASE OF MALIGNATION OF GIANT INVERTED PAPILLOMA OF THE NOSE

2021 ◽  
Vol 20 (1) ◽  
pp. 35-38
Author(s):  
Oleksandr Plaksyvyi ◽  
Ihor Kalutskyi ◽  
Olga Mazur
Keyword(s):  
Carotid Artery ◽  
Paranasal Sinuses ◽  
Clinical Case ◽  
Benign Tumor ◽  
Radical Surgery ◽  
Transitional Cell ◽  
External Carotid Artery ◽  
Inverted Papilloma ◽  
External Carotid ◽  
Rare Benign Tumor

Inverted transitional cell papilloma (Schneider papilloma), a rare benign tumor, accounts for about 0.5% of all neoplasms of the nose. Usually unilateral, recurrences of the tumor can occur after 5-10 years. The clinical case testifi es to the gigantic size of the neoplasm, the germination of the inverted papilloma into the paranasal sinuses, the malignancy of the process and the metastasis of the tumor, which was not previously described. The main treatment for preventing recurrence is radical surgery, possibly with ligation of the external carotid artery.

An aberrant artery as a cause of massive bleeding following adenoidectomy

2002 ◽  
Vol 116 (4) ◽  
pp. 299-300 ◽  
Author(s):  
J. P. Windfuhr
Keyword(s):  
Carotid Artery ◽  
Surgical Procedure ◽  
Rare Complication ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
General Anaesthetic ◽  
Ascending Pharyngeal Artery ◽  
Aberrant Artery ◽  
Almost All

Bleeding following adenoidectomy is a rare complication of this surgical procedure, and usually occurs in the first post-operative hours. In almost all cases it is related to adenoid remnants. Removal of these remnants under a second general anaesthetic is the treatment of choice. We report a case of massive bleeding three days following adenoidectomy related to the injury of an aberrant ascending pharyngeal artery during adenoidectomy performed elsewhere. Signs of manifest shock necessitated an immediate ligature of the external carotid artery and its individual branches. The post-operative course was uneventful. Two years later the boy underwent tonsillectomy without complications.

scholarly journals First bite syndrome as presenting symptom of parapharyngeal adenoid cystic carcinoma

2011 ◽  
Vol 125 (4) ◽  
pp. 428-431 ◽  
Author(s):  
A Deganello ◽  
G Meccariello ◽  
M Busoni ◽  
A Franchi ◽  
O Gallo
Keyword(s):  
Carotid Artery ◽  
Parotid Gland ◽  
Adenoid Cystic Carcinoma ◽  
Parapharyngeal Space ◽  
External Carotid Artery ◽  
External Carotid ◽  
Selective Neck Dissection ◽  
Deep Lobe ◽  
Adenoid Cystic ◽  
First Bite Syndrome

AbstractIntroduction:First bite syndrome refers to the development of pain in the parotid region after the first bite of each meal.Case report:A man was referred to our institution with first bite syndrome as his only symptom. Magnetic resonance imaging of the head and neck revealed a deep lobe parotid mass in close contact with the external carotid artery. Computed tomography guided fine needle biopsy indicated adenoid cystic carcinoma. Total parotidectomy was performed, with en bloc resection of the infiltrated external carotid artery and a selective neck dissection of levels Ib to III. High-weight ion radiotherapy was administered post-operatively.Conclusion:First bite syndrome has hitherto only been described following parapharyngeal space surgery. We present the first case of parotid gland adenoid cystic carcinoma presenting with first bite syndrome as the only symptom. The presence of first bite syndrome should prompt the clinician to investigate the parapharyngeal space and deep lobe of the parotid gland, especially in the absence of other signs or symptoms.

scholarly journals Spontaneous intra-parotid pseudoaneurysm of the external carotid artery: A rare case report due to an unfrequent disease

2019 ◽  
Vol 43 ◽  
pp. 72-74
Author(s):  
Omar Iziki ◽  
Sami Rouadi ◽  
Redallah Larbi Abada ◽  
Mohamed Roubal ◽  
Mohamed Mahtar
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Rare Case ◽  
External Carotid Artery ◽  
External Carotid ◽  
Rare Case Report

Experimental investigation of encephalomyosynangiosis using gyrencephalic brain of the miniature pig: histopathological evaluation of dynamic reconstruction of vessels for functional anastomosis

2009 ◽  
Vol 3 (6) ◽  
pp. 488-495 ◽  
Author(s):  
Mitsunobu Nakamura ◽  
Hideaki Imai ◽  
Kenjiro Konno ◽  
Chisato Kubota ◽  
Koji Seki ◽  
...  
Keyword(s):  
Cerebral Cortex ◽  
Carotid Artery ◽  
Histological Examination ◽  
Initial Step ◽  
Scar Tissue ◽  
External Carotid Artery ◽  
External Carotid ◽  
Control Group ◽  
Miniature Pig ◽  
Temporal Muscle

Object Encephalomyosynangiosis (EMS) is a surgical treatment for moyamoya disease that is widely used to provide increased intracranial blood flow via revascularization by arterial anastomosis from the external carotid artery. However, the angiogenic mechanism responsible for the revascularization induced by EMS has not been systematically evaluated. In this study the authors investigated the chronological angiogenic changes associated with EMS to clarify the favorable factors and identify revascularization mechanisms by using an experimental internal carotid artery occlusion (ICAO) model in the miniature pig. Methods Fourteen miniature pigs were used, 11 of which underwent ICAO before transcranial surgery for EMS was performed. Animals were allowed to recover for 1 week (4 pigs) or 4 weeks (7 pigs) after EMS. Control group animals were treated in the same way, but without occlusion (3 pigs). Magnetic resonance imaging, angiography, and histological investigation were performed. Results One week after EMS, on histological examination of both the ICAO and control groups it was found that the transplanted temporal muscle had adhered to the arachnoid via a granulation zone, which was enriched with immune cells such as macrophages associated with the angiogenic process. Four weeks after EMS, angiography and histological examination of the ICAO group showed patent anastomoses between the external carotid artery and the cortical arteries without any detectable boundary between the temporal muscle and the cerebral cortex. In contrast, histological examination of the control group found scar tissue between the cerebral cortex and temporal muscle. Conclusions The initial step for formation of anastomoses resembles the process of wound healing associated with repair processes such as active proliferation of macrophages and angiogenesis within the new connective tissue. Functional revascularization requires a suitable environment (such as tissue containing vascular beds) and stimulus (such as ischemia) to induce vascular expansion.

scholarly journals Dural arteriovenous fistulas of the cavernous sinus - clinical case and treatment

2014 ◽  
Vol 21 (2) ◽  
pp. 169-174
Author(s):  
A. Chiriac ◽  
N. Dobrin ◽  
St.M. Iencean ◽  
I. Poeata
Keyword(s):  
Carotid Artery ◽  
Endovascular Treatment ◽  
Cavernous Sinus ◽  
Clinical Case ◽  
Dural Arteriovenous Fistula ◽  
Clinical Symptoms ◽  
External Carotid Artery ◽  
External Carotid ◽  
Arteriovenous Fistulas ◽  
Dural Arteriovenous Fistulas

Abstract The purpose of our article is to present the results of our treatment of dural arteriovenous fistula of the cavernous sinus by glue embolization of the external carotid artery feeders. By this case presentation we try to clarify the clinical course, with the dural carotid cavernous fistula (CCF), characterizing a pallet of symptoms, paying special attention to radiological finding and endovascular treatment. Dural arteriovenous fistulas represent 10% to 15% of all intracranial arteriovenous malformations (A. Fox, G. Duckwiler, “Dural Arteriovenous Fistula,” presented at the annual meeting of the American Society of Neuroradiology, St Louis, Mo, June 1992). Dural arteriovenous fistulas are rare clinical situation, especially examples involving the cavernous sinus. Most dural fistulas are acquired conditions, typically occurring in postmenopausal women, but sometimes in other patients in association with other condition [1,3]. These dural fistulas are most often “spontaneous” cavernous carotid shunts (usually low-flow) [2, 4, 5], usually related to a past trauma or surgery. The classical triad, represented by pulsating exophthalmos, conjunctival chemosis, and pulsatile-tinnitus are well-known clinical symptoms of these lesions but are not necessary present in the majority of the patients as first indicators. The anatomy of these vascular malformations consists of multiple arterial feeders flowing into cavernous sinus. The arterial feeders are usually meningeal branches arising from the internal carotid artery (ICA) or the external carotid artery (ECA). However, there are few reports of large series [1], and the clinical entity is not widely known. The purpose of this paper is to present a clinical case of a patient with dural cavernous sinus fistulae, clarify the clinical symptoms course and special attention to results of endovascular treatment.

Right Zygomaticomaxillary Complex Fracture With Rupture Of Internal Maxillary Artery: A Case Report

2016 ◽  
Vol 3 (1) ◽  
pp. 27-31
Author(s):  
Beni Herlambang ◽  
Budiman Budiman
Keyword(s):  
Carotid Artery ◽  
Massive Bleeding ◽  
External Carotid Artery ◽  
External Carotid ◽  
Maxillary Artery ◽  
Internal Maxillary Artery ◽  
Complex Fracture ◽  
Zygomaticomaxillary Complex Fracture ◽  
Life Threatening ◽  
Zygomaticomaxillary Complex

Background: This case report gives prominence to the risk of delayed, possibly life - threatening bleeding following mid-facial fractures. Methods: A 42-year-old male was involved in an accident during which he suffered from right zygomaticomaxillary complex fractures with massive bleeding. The hemoglobin level was decreased from 11 to 5 g/dL, suspected caused by rupture of internal maxillary artery. Incidence of massive bleeding due to zygomaticomaxillary complex fracture is quite rare. Patient also felt right visual loss due to retrobulbar hematoma compression. He was given nasal tampon and transfusion in referral hospital. The patient had fracture reconstruction (reduction and fixation), ligation of right facial artery and temporary ligation of external carotid artery with Ethiloop for 5 days. Nevertheless, the bleeding still occurred. The patient then underwent Digital Subtraction Angiography (DSA) and coiling procedure from radiologic intervention. Twenty days after last procedure, we ligated the right external carotid artery due to recurrence of bleeding. Results: There are many modalities and procedure for the therapy of massive bleeding on midface fracture, ranging from conservative, minimal invasive to operative surgery. Patient that has gone through DSA procedure can still bleed. After ligation of external carotid artery, no more bleeding occurred. Conclusion: Patient suffering from extensive midfacial fracture, the internal maxillary artery and its branches are at special risk of injury due to their close anatomical relationship to bony structures. Its bleeding is possibly life threatening. Tampon and nasal packing are non-essential initial treatment, but digital pressure procedure can be performed to stop the bleeding temporarily. Ligation of external carotid artery is the best choice of treatment for permanent outcome.

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