A case of multiple abnormalities with eustachian tube obstruction by a protruded internal carotid artery

Abstract We report a case of multiple abnormalities with eustachian tube obstruction by a protruded internal carotid artery. A 10-year-old male presented with multiple abnormalities including anomalous pinna, poor eyesight, facial palsy, moderate conductive deafness, and otitis media with effusion....

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2011-03, Vol.75 (3), p.441-443
Main Authors: Shinnabe, Akihiro, Hara, Mariko, Matsuzawa, Shingo, Hasegawa, Masayo, Kodama, Kozue, Kanazawa, Hiromi, Yoshida, Naohiro, Iino, Yukiko
Format: Article
Language:English
Subjects:
Abnormalities, Multiple
Carotid Artery, Internal - abnormalities
Child
Eustachian Tube - diagnostic imaging
Eustachian tube obstruction
Hearing Loss, Conductive - etiology
Humans
Internal carotid artery disproportion
Male
Middle Ear Ventilation
Multiple abnormalities
Otitis media with effusion
Otolaryngology
Pediatrics
Protruded internal carotid artery
Tomography, X-Ray Computed
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Summary:Abstract We report a case of multiple abnormalities with eustachian tube obstruction by a protruded internal carotid artery. A 10-year-old male presented with multiple abnormalities including anomalous pinna, poor eyesight, facial palsy, moderate conductive deafness, and otitis media with effusion. Temporal bone computed tomography demonstrated obstruction of the right eustachian tube by a protruded internal carotid artery. Insertion of a tympanostomy tube did not improve his hearing, indicating a possible ossicular chain anomaly. Although tympanoplasty is necessary to improve the patients’ hearing, the poor drainage function makes this difficult. Knowledge of this vascular anomaly is important when performing myringotomy or tympanoplasty.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2010.12.011