Coscarón Blanco E, Benito J J, Benito F, Gómez J L, del Cañizo Alvarez A, Antúnez P
Servicio de Otorrinolaringología y Patología Cérvicofacial, Hospital Clínico Universitario de Salamanca, Universidad de Salamanca.
Acta Otorrinolaringol Esp. 2003 May;54(5):388-91. doi: 10.1016/s0001-6519(03)78427-1.
Aneurysms of the superficial temporal artery are an uncommon cause for preauricular or parotid masses. Trauma is the most frequent etiology for a pseudoaneurysm and atheromatosis for the true aneurysm. The diagnosis is clinical due to their vascular signs (pulsatile mass, thrill...), these signs care not present when the aneurysmnas thrombosed, being this an unusual event that will make difficult a proper diagnosis. Radiological investigations are needed and helpful under these circumstances. Surgery is curative and recommended, being the excision after proximal and distal ligation of the artery the most accepted procedure. Aneurysms of the superficial temporal artery are rarely reported in the literature. We report a case that showed up as a non-pulsatile preauricular mass to highlight this unusual condition.
颞浅动脉动脉瘤是耳前或腮腺肿块的罕见病因。创伤是假性动脉瘤最常见的病因,而真性动脉瘤的病因是动脉粥样硬化。由于其血管体征(搏动性肿块、震颤……),诊断主要依靠临床,但当动脉瘤血栓形成时这些体征不存在,这是一种不常见的情况,会使准确诊断变得困难。在这种情况下,需要进行影像学检查并会有所帮助。手术是治愈性的且被推荐,动脉近端和远端结扎后切除是最常用的手术方法。颞浅动脉动脉瘤在文献中很少被报道。我们报告一例表现为非搏动性耳前肿块的病例,以突出这种不寻常的情况。