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September 1960

Aneurysm of the Internal Carotid Artery as a Complication of Mastoidectomy

Author Affiliations

Houston, Texas

Arch Otolaryngol. 1960;72(3):366-368. doi:10.1001/archotol.1960.00740010374016

A 10-year review of the literature and another by the research staff of a consulting bureau have failed to show reports of aneurysm of the internal carotid artery occurring as a complication of temporal bone surgery. Although aneurysms have been found in various locations throughout the course of this artery, none were similar to the one in this case, at least in the reports encountered.

Report of Case  The patient, a healthy 26-year-old man, was referred by an otolaryngologist in another city. This doctor had suggested the clinical diagnosis from findings which developed while the patient was still under his care during the postoperative period. Twenty-four years before, at age 2, this man had a left simple mastoidectomy. The ear continued to drain with recurrent acute exacerbations of the infection, more frequently following upper respiratory infections. Local treatment and antibiotics failed to produce a dry ear, and it was decided

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