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Synchronous Aberration of the Jugular and Carotid-a Case Report
Adarsh Kudva1, Vasantha Dhara1, Lakshmi Pandey1
1Department of Oral & Maxillofacial Surgery, Manipal College of Dental Sciences, MAHE, Udupi, 576104 India.
Journal of Maxillofacial and Oral Surgery
|October 8, 2024
Summary
This case report details a rare, asymptomatic double vascular anomaly involving the internal jugular vein and carotid artery in a patient with oral cancer. Awareness of such anomalies is crucial for surgical planning and patient safety.
Area of Science:
- Vascular surgery
- Head and neck oncology
- Anatomical variations
Background:
- Vascular aberrations in the head and neck present significant diagnostic and surgical challenges.
- Carotid and jugular anomalies are associated with increased incidence and lethality, necessitating clinical vigilance.
- Early detection and understanding of these anomalies are vital for successful patient management.
Observation:
- A peculiar case of asymptomatic double vessel aberration was identified.
- The aberration involved an ectasia of the internal jugular vein and carotid kinking in the same patient.
- Carotid kissing at the pharyngeal level was also observed concurrently.
Findings:
- The patient presented with oral carcinoma alongside a unique combination of vascular anomalies.
- The internal jugular vein exhibited ectasia, and the carotid artery showed kinking.
- Co-occurrence of these anomalies, including carotid kissing, highlights complex anatomical variations.
Implications:
- This case underscores the importance of thorough pre-operative vascular assessment in head and neck cancer patients.
- Recognition of such rare anatomical variations can prevent intraoperative complications and improve surgical outcomes.
- Further research into the incidence and clinical significance of combined vascular aberrations is warranted.
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