{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T06:05:27Z","timestamp":1789538727733,"version":"build-2803163510"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"DOI":"10.1007\/s00405-026-10624-y","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:42:35Z","timestamp":1789537355000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Age-associated medialization of the cervical internal carotid artery: CT morphometric findings and an exploratory combined mucosa\u2013midline grading framework"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7495-4745","authenticated-orcid":false,"given":"Ahmet","family":"\u00c7elik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0494-7985","authenticated-orcid":false,"given":"S\u0131ra\u00e7","family":"Irmak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"10624_CR1","volume-title":"Gray's anatomy: the anatomical basis of clinical practice","year":"2021","unstructured":"Standring S (ed) (2021) Gray\u2019s anatomy: the anatomical basis of clinical practice, 42nd ed. Elsevier, London","edition":"42nd ed"},{"key":"10624_CR2","volume-title":"Clinically oriented anatomy","author":"KL Moore","year":"2023","unstructured":"Moore KL, Dalley AF, Agur AMR (2023) Clinically oriented anatomy, 9th ed. Wolters Kluwer, Philadelphia","edition":"9th ed"},{"key":"10624_CR3","volume-title":"Gray's anatomy for students","author":"RL Drake","year":"2023","unstructured":"Drake RL, Vogl W, Mitchell AWM (2023) Gray\u2019s anatomy for students, 5th ed. Elsevier, Philadelphia","edition":"5th ed"},{"issue":"Pt 3","key":"10624_CR4","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1046\/j.1469-7580.2000.19730373.x","volume":"197","author":"F Paulsen","year":"2000","unstructured":"Paulsen F, Tillmann B, Christofides C, Richter W, Koebke J (2000) Curving and looping of the internal carotid artery in relation to the pharynx: frequency, embryology and clinical implications. J Anat 197(Pt 3):373\u2013381","journal-title":"J Anat"},{"key":"10624_CR5","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1212\/WNL.15.1.7","volume":"15","author":"J Weibel","year":"1965","unstructured":"Weibel J, Fields WS (1965) Tortuosity, coiling and kinking of the internal carotid artery Etiology and radiographic anatomy. Neurology 15:7\u201318","journal-title":"Neurology"},{"issue":"5","key":"10624_CR6","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1177\/000331979804900505","volume":"49","author":"L Del Corso","year":"1998","unstructured":"Del Corso L, Moruzzo D, Conte B et al (1998) Tortuosity, kinking, and coiling of the carotid artery: expression of atherosclerosis or aging? Angiology 49(5):361\u2013371","journal-title":"Angiology"},{"issue":"3","key":"10624_CR7","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1159\/000335123","volume":"49","author":"HC Han","year":"2012","unstructured":"Han HC (2012) Twisted blood vessels: symptoms, etiology and biomechanical mechanisms. J Vasc Res 49(3):185\u2013197","journal-title":"J Vasc Res"},{"key":"10624_CR8","doi-asserted-by":"publisher","first-page":"E109","DOI":"10.1097\/BRS.0b013e31827b0d4b","volume":"38","author":"J Koreckij","year":"2013","unstructured":"Koreckij J, Alvi H, Gibly R et al (2013) Incidence and risk factors of the retropharyngeal carotid artery on cervical magnetic resonance imaging. Spine 38:E109\u2013E112. https:\/\/doi.org\/10.1097\/BRS.0b013e31827b0d4b","journal-title":"Spine"},{"issue":"11","key":"10624_CR9","doi-asserted-by":"publisher","first-page":"1931","DOI":"10.1097\/MLG.0b013e318180213b","volume":"118","author":"J Pfeiffer","year":"2008","unstructured":"Pfeiffer J, Ridder GJ (2008) A clinical classification system for aberrant internal carotid arteries. Laryngoscope 118(11):1931\u20131936","journal-title":"Laryngoscope"},{"issue":"2","key":"10624_CR10","doi-asserted-by":"publisher","first-page":"336","DOI":"10.3174\/ajnr.A4533","volume":"37","author":"DE Lukins","year":"2016","unstructured":"Lukins DE, Pilati S, Escott EJ (2016) The moving carotid artery: a retrospective review of the retropharyngeal carotid artery and its positional changes on serial CT examinations. AJNR Am J Neuroradiol 37(2):336\u2013341","journal-title":"AJNR Am J Neuroradiol"},{"issue":"12","key":"10624_CR11","doi-asserted-by":"publisher","first-page":"1410","DOI":"10.1001\/archotol.1995.01890120066013","volume":"121","author":"MD Deutsch","year":"1995","unstructured":"Deutsch MD, Kriss VM, Willging JP (1995) Distance between the cervical internal carotid artery and the tonsillar fossa in children. Arch Otolaryngol Head Neck Surg 121(12):1410\u20131412","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"8","key":"10624_CR12","doi-asserted-by":"publisher","first-page":"1349","DOI":"10.1007\/s00276-021-02699-5","volume":"43","author":"WP Zhu","year":"2021","unstructured":"Zhu WP, Chen YP, Zhang J et al (2021) Retropharyngeal internal carotid artery: a potential risk factor for transoral surgery. Surg Radiol Anat 43(8):1349\u20131355","journal-title":"Surg Radiol Anat"},{"issue":"4-5","key":"10624_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/014556131509404508","volume":"96","author":"IB Arslan","year":"2017","unstructured":"Arslan IB et al (2017) Medially displaced common and internal carotid arteries presenting as a pulsatile mass: clinicoradiologic analysis of 62 cases. Ear Nose Throat J 96(4\u20135):1\u20136","journal-title":"Ear Nose Throat J"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10624-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-026-10624-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10624-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T05:42:36Z","timestamp":1789537356000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-026-10624-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":13,"alternative-id":["10624"],"URL":"https:\/\/doi.org\/10.1007\/s00405-026-10624-y","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"3 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Clinical Research Ethics Committee of Gazi Ya\u015fargil Training and Research Hospital, University of Health Sciences, Diyarbak\u0131r, T\u00fcrkiye (Approval No. 279; June 5, 2026).","order":1,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The requirement for written informed consent was waived by the Ethics Committee because of the retrospective design of the study and the use of anonymized imaging data.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}