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Bilateral pulsating pharynx with abnormal internal carotid artery |
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| Institution: | 1. Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave CHS 62-132, Los Angeles, CA;2. Department of Pathology and Laboratory Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada;3. Department of Biostatistics, UCLA School of Public Health, 911 Broxton Ave, Los Angeles, CA;4. Jonsson Comprehensive Cancer Center, UCLA, 8-684 Factor Building, Los Angeles, CA;5. UCLA Head and Neck Cancer Program, 200 Medical Plaza, Suite 550, Los Angeles, CA |
| Abstract: | A five years old female, presented with long standing snoring & recurrent tonsillitis. Examination showed pulsating soft palate & posterior pharyngeal wall. Magnetic resonance angiography (MRA) of the carotids revealed abnormal course of the right internal carotid artery (ICA) with its proximal segment coursing medially and reaching the midline of the retropharyngeal space. The right ICA kinked 2.3 cm medially. It was 3.1 mm posterior to the right palatine tonsil & 3.5 mm away from posterior part of the adenoid. The dilemma of undergoing adenotonsillectomy was considered to be of a high risk & the patient was kept on conservative management only. |
| Keywords: | Bilateral pulsating pharynx Abnormal internal carotid artery Tonsillectomy |
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