• Users Online: 75
  • Print this page
  • Email this page
CASE REPORT
Year : 2019  |  Volume : 21  |  Issue : 2  |  Page : 47-51

Aberrant carotid bulb in bilateral tonsillar fossae: An exceptional discovery during tonsillectomy


1 Department of Otorhinolaryngology and Head and Neck Surgery, Al Jahra Hospital, Ministry of Health, Al Jahra, Kuwait
2 Department of ENT, Jahra Hospital, Al Jahra, Kuwait
3 Department of Radiology, SRM Medical College Hospital and Research Centre, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Ramiya Ramachandran Kaipuzha
Department of ENT, Jahra Hospital, Al Jahra
Kuwait
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/SJOH.SJOH_5_19

Rights and Permissions

Tonsillectomy, though a popular surgery, has now downsized to limited indications. Although rare, this surgery may cause trauma to the great vessels leading to life-threatening hemorrhage. The congenitally tortuous internal carotid artery (ICA) is an unusual but important anomaly, especially when it is situated in the tonsillar fossae. About 1%–16% of patients have a surgically vulnerable ICA manifested clinically. Here, we present the first reported case of carotid bulb in the right tonsillar fossa. A 7-year-old female child underwent tonsillectomy for obstructive sleep apnea syndrome. Intraoperatively, she was found to have a carotid bulb in both tonsillar fossae, right more prominent than left one. Computed tomography angiogram confirmed the presence of a prominent carotid bulb in the right tonsillar fossa at the C2level. This case report highlights the importance of a heightened awareness of the anatomic variations of carotid artery, in particular, the carotid bulb. This is of critical significance for a safe tonsillectomy as well as any procedure performed in the oropharyngeal region.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed398    
    Printed34    
    Emailed0    
    PDF Downloaded56    
    Comments [Add]    

Recommend this journal