• Bogdan Mihail Cobzeanu, Vasilica Baldea, Victor Vlad Costan, Mihail Dan Cobzeanu, Octavian Dragos Palade, Liliana Gheorghe, Luminita Radulescu, Florentina Severin, Lupascu UrsulescuCorinaCFaculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.Emergency Clinical Hospital "Sfântul Spiridon" Iasi, 700111 Iasi, Romania., Geanina Bandol, Cristian Martu, Andrei Mihail Rosu, and Maria Luiza Cobzeanu.
• Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
• Medicina (Kaunas). 2023 May 31; 59 (6).

AbstractBackground and Objectives: The internal carotid artery (ICA) is a vascular structure that can be easily injured during sinus endoscopic procedures, and surgeons should be familiar with its anatomic variants. The aim of this study was to describe the anatomical variations in the internal carotid artery in relationship to sphenoidal sinuses, using computed tomography (CT). Materials and Methods: In this retrospective study, we evaluated the variations of the ICA in relationship to sphenoidal sinuses in a cohort of 600 patients who were assessed between January 2020 and December 2022 in 'Saint Spiridon' Emergency Hospital, Iasi, Romania. Descriptive statistics were used to characterize our data. Results: The most prevalent anatomical variant was represented by intrasinusal septa with posterior insertion on the ICA (58.6%), followed by procident ICA (58%) and dehiscent ICA (52%). We could not find any statistical significance regarding demographic characteristics among groups. Conclusions: A thorough CT examination should be performed before functional endoscopic sinus surgery, with the identification of anatomical variants of the ICA, in order to prevent its injury with potentially fatal consequences.

15 keywords...

hide…