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Retropharyngeal carotid in a case of oral malignancy: A catastrophe waiting to happen?

Author:

Dr. Garvit D. Khatri, Dr. Kewal Mistry and Dr. Neha Antil

Subject Area:

Health Sciences

Abstract:

Normal Internal Carotid artery run a straight and branch free course in the neck. However, due to abnormal embryological development or atherosclerosis/ fibromuscular dysplasia there might arise an aberration in the course of the internal carotid arteries. These may be medial deviation, kinking or coiling. Medial deviation may cause a retropharyngeal location. Ignorance of this location may lead to catastrophic complications in various surgical and anesthesia procedures involving the pharynx. We present a case of a 71year old male patient with oral malignancy and right-sided retropharyngeal common and internal carotid arteries with a brief review of literature to signify the clinical importance of this anatomical variant.

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