caa a22 4500 386347336 CHVBK 20180307111816.0 cr unu---uuuuu 161130e198912 xx s 000 0 eng 10.1017/S002221510011134X doi S002221510011134X pii (NATIONALLICENCE)cambridge-10.1017/S002221510011134X Aberrant intratympanic internal carotid artery: a Potentially hazardous anomaly [Elektronische Daten] A case is presented of a 3-year-old girl with no previous history of ear disease or developmental defects who bled profusely upon (right) myringotomy. The haemorrhage could only be stopped with the aid of an ear insert and a nasopharyngeal balloon catheter. The balloon catheter was removed the following day but the girl had to use an ear insert for a total of 76 days following myringotomy because of repeated haemorrhage from the ear. The subsequent investigation using CT and angiography revealed an aberrant internal carotid artery in the middle ear. It is concluded that the one most important factor in the handling of these cases is to be aware of the existence of aberrant internal carotid arteries and to have a high degree of suspicion when encountering any abnormal clinical or radiological findings which might point in the direction of vascular abnormalities. The failure to detect this condition before any surgical intervention on the affected ear can have disastrous consequences. The method of choice in handling these cases is one of avoidance of middle ear manipulation in order not to cause haemorrhage from the aberrant artery. Copyright © JLO (1984) Limited 1989 Jacobsson M. Department of Otolaryngology, Sahlgren's Hospital, University of Gothenburg Davidsson Å. Department of Otolaryngology, Regional Hospital, Örebro Hugosson S. Department of Otolaryngology, Regional Hospital, Örebro Tjellström A. Department of Otolaryngology, Sahlgren's Hospital, University of Gothenburg Svendsen P. Department of Diagnostic Radiology, Sahlgren's Hospital, University of Gothenburg, Sweden The Journal of Laryngology & Otology Cambridge University Press 103/12(1989-12), 1202-1205 0022-2151 103:12<1202 1989 103 JLO https://doi.org/10.1017/S002221510011134X text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S002221510011134X text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jacobsson M. Department of Otolaryngology, Sahlgren's Hospital, University of Gothenburg NATIONALLICENCE 700 1- Davidsson Å. Department of Otolaryngology, Regional Hospital, Örebro NATIONALLICENCE 700 1- Hugosson S. Department of Otolaryngology, Regional Hospital, Örebro NATIONALLICENCE 700 1- Tjellström A. Department of Otolaryngology, Sahlgren's Hospital, University of Gothenburg NATIONALLICENCE 700 1- Svendsen P. Department of Diagnostic Radiology, Sahlgren's Hospital, University of Gothenburg, Sweden NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 103/12(1989-12), 1202-1205 0022-2151 103:12<1202 1989 103 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge