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Updated: Feb 10, 2026
03:47
A Murine Model of Carotid Aneurysm Formation
Published on: September 9, 2025
378
Carotid aneurysms: unusual referrals from general dental practice
O Rees-Stoner1, A Jenkinson1, K Shah1
1Oral and Maxillofacial Department, Morriston Hospital.
British Dental Journal
|May 26, 2018
Summary
Oral and maxillofacial surgeons encountered two neck lump referrals initially suspected as cancer. Both patients were diagnosed with carotid aneurysms, a rare condition for dentists to consider.
Area of Science:
- Oral and Maxillofacial Surgery
- Vascular Surgery
- Diagnostic Radiology
Background:
- Oral and maxillofacial surgeons (OMFS) manage diseases of the mouth, jaws, face, and neck.
- Dentists in general practice refer urgent suspected cancer (USC) cases to OMFS within 14 days.
- OMFS at Morriston Hospital received two USC referrals in early 2017.
Observation:
- Both referrals presented as enlarging, firm, painful neck swellings in healthy adults.
- Neither patient had typical risk factors for malignancy (smoking, high alcohol, HPV) or dental pathology.
- Cases were prioritized and seen within the two-week target timeframe.
Findings:
- Clinical examination and investigations revealed both patients had carotid aneurysms.
- The condition required treatment by the vascular surgical team via surgical repair.
- Carotid aneurysms are rarely considered in dental differential diagnoses for neck lumps.
Implications:
- Highlights the importance of considering vascular emergencies in neck lump diagnostics.
- Suggests a need for broader differential diagnoses beyond malignancy for neck swellings.
- Emphasizes interdisciplinary collaboration between OMFS and vascular surgery for complex cases.
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