Sažetak sa skupa
Surgical hazard during adenoidectomy in children – a case report
Željka Roje
; Ordinacija za ORL "Prof. Željka Roje", 21000 Split, Hrvatska
Zlatko Kljajić
; Pomorski fakultet Sveučilišta u Splitu, R. Boškovića 37, 21000 Split, Hrvatska
Sažetak
Background: Adenoidectomy is one of the world’s most frequently performed surgical procedures. Although
the operation is relatively simple and with a very low percentage of complications, it can sometimes be
accompanied by fatal complications. One such scenario arises when an unrecognized aberrant course of the
internal carotid artery is present, particularly if the artery is near or in contact with the oropharynx or
nasopharynx. Methods: This report presents the case of a 3-year-old girl scheduled for adenoidectomy and the
placement of ear aeration tubes. Following intubation, the oro-nasopharynx was inspected during the
procedure, revealing a pulsatile mass suspected to be an aberrant right internal carotid artery (ICA). Results:
A contrast-enhanced MSCT of the neck was performed, confirming the presence of an aberrant right carotid
artery in direct contact with the posterior wall of the nasopharynx. Conclusions: In conclusion, a thorough
visual and palpable examination by an otorhinolaryngologist after the induction of anesthesia, with the child’s
neck in extension, is crucial for identifying aberrant carotid artery courses. Such careful assessment can help
prevent potentially fatal complications.
Ključne riječi
internal carotid artery; tonsillectomy and adenoidectomy; surgery; pharynx
Hrčak ID:
336426
URI
Datum izdavanja:
10.11.2025.
Posjeta: 127 *