Mohorko Janez, Glavan Matic, Čizmarevič Bogdan, Lanišnik Boštjan
1Department of Otorhinolaryngology, Cervical and Maxillofacial Surgery, University Medical Center Maribor, Ljubljanska ulica 5, 2000 Maribor, Slovenia.
2Department of Otorhinolaryngology, Cervical and Maxillofacial Surgery, Faculty of Medicine, University of Maribor, Maribor, Slovenia.
Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1453-1457. doi: 10.1007/s12070-018-1545-7. Epub 2018 Dec 4.
Mycotic aneurysm of the internal carotid artery following otomastoiditis can manifest as a nasopharyngeal mass. This is a very rarely described condition. The case of a patient diagnosed with a retropharyngeal mycotic aneurysm of the left internal carotid artery following otitis media, treated with exclusion of the mycotic aneurysm from the circulation and transnasal drainage. Infection of the mastoid can spread to the parapharyngeal space of the nasopharynx and damage the carotid artery wall, resulting in an infected aneurysm. There are no guidelines on how to surgically approach those aneurysms. An endoscopic transnasal approach can be beneficial.
耳乳突炎后颈内动脉霉菌性动脉瘤可表现为鼻咽部肿块。这是一种极少被描述的病症。本文报道一例中耳炎后诊断为左颈内动脉咽后霉菌性动脉瘤的患者，通过将霉菌性动脉瘤排除在循环系统外并经鼻引流进行治疗。乳突感染可蔓延至鼻咽部的咽旁间隙并损害颈动脉壁，导致感染性动脉瘤。目前尚无关于如何手术治疗这些动脉瘤的指南。经鼻内镜手术方法可能有益。
