Saudi Journal of Otorhinolaryngology Head and Neck Surgery

CASE REPORT
Year
: 2019  |  Volume : 21  |  Issue : 2  |  Page : 47--51

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


Brook Assefa Aylele1, Ramiya Ramachandran Kaipuzha2, Akilesh Suvindran3, Nasser Alhajri1 
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

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.


How to cite this article:
Aylele BA, Kaipuzha RR, Suvindran A, Alhajri N. Aberrant carotid bulb in bilateral tonsillar fossae: An exceptional discovery during tonsillectomy.Saudi J Otorhinolaryngol Head Neck Surg 2019;21:47-51


How to cite this URL:
Aylele BA, Kaipuzha RR, Suvindran A, Alhajri N. Aberrant carotid bulb in bilateral tonsillar fossae: An exceptional discovery during tonsillectomy. Saudi J Otorhinolaryngol Head Neck Surg [serial online] 2019 [cited 2021 May 5 ];21:47-51
Available from: https://www.sjohns.org/article.asp?issn=1319-8491;year=2019;volume=21;issue=2;spage=47;epage=51;aulast=Aylele;type=0