Yeh Chung-Hui, Liao Chun-Han, Wei Sung-Tai
From the Departments of *Otorhinolaryngology, †Radiology, and ‡Neurosurgery, China Medical University and Hospital, Taichung, Taiwan.
J Craniofac Surg. 2014 Mar;25(2):449-50. doi: 10.1097/SCS.0000000000000488.
Aberrations of the cervical internal carotid artery can be detected in the nasopharynx, oropharynx, and hypopharynx. Most previous literature reviews have focused on an analysis of the anatomic variations. However, clinical symptoms and physical examination findings have been rarely reported. Our clinical study describes a 63-year-old woman who presented with a lumpy and sore throat. We found an obvious protruding pulsatile mass in her retropharynx. Furthermore, an additional head and neck computed tomographic scan showed a variant course of the left common carotid artery and left internal carotid artery in the retropharynx and oropharynx.
颈内动脉异常可在鼻咽、口咽和下咽中被检测到。以往大多数文献综述都集中在解剖变异的分析上。然而，临床症状和体格检查结果却鲜有报道。我们的临床研究描述了一名63岁女性，她出现咽喉部肿块和疼痛。我们在她的咽后壁发现了一个明显突出的搏动性肿块。此外，额外的头颈计算机断层扫描显示左颈总动脉和左颈内动脉在咽后壁和口咽走行变异。
