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Updated: Apr 16, 2026

Discovering Middle Ear Anatomy by Transcanal Endoscopic Ear Surgery: A Dissection Manual
Published on: January 11, 2018
Aberrant carotid artery in the middle ear
1Department of Otorhinolaryngology, Head and Neck Surgery, Anadolu Medical Center, Kocaeli, Turkey.
Background:
Carotid artery abnormality in the middle ear is a rare clinical condition. Recognition of the problems related with this abnormality is important since it may mimic vascular tumors. Any intervention with incomplete evaluation can be fatal.
Case Report:
A 23-year-old girl with carotid abnormality and sensorineural hearing loss, unsteadiness and tinnitus is presented. She was followed for 2 months elsewhere assuming that she had Meniere's disease and had previously received some medication for otitis media with effusion.
Conclusion:
Tomography and magnetic resonance imaging of the temporal bone are very helpful for visualization of an aberrant carotid in the middle ear. Radiological presentations are the reduced caliber of the aberrant carotid, an absence of cranial opening of carotid canal, tubular coursing along the medial wall of the middle ear in continuity with the horizontal carotid canal, dehiscence of the lateral carotid plate and enlargement of the tympanic canalicus.
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