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Radiological assessment using CT and MRI\/magnetic resonance angiography confirmed the diagnosis of an aberrant ICA. Interestingly, a duplication of the ICA was demonstrated, in which the enlarged inferior tympanic artery presented as the aberrant ICA, whereas a narrower collateral hypoplastic native ICA was also present. A conservative approach with regular follow-up appointments was recommended.<\/jats:p>","DOI":"10.1136\/bcr-2018-228865","type":"journal-article","created":{"date-parts":[[2019,4,20]],"date-time":"2019-04-20T12:15:18Z","timestamp":1555762518000},"page":"e228865","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Aberrant internal carotid artery in the middle ear: the duplication variant"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2314-0263","authenticated-orcid":false,"given":"Andreas","family":"Anagiotos","sequence":"first","affiliation":[{"name":"ENT Department, Nicosia General Hospital, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Kazantzi","sequence":"additional","affiliation":[{"name":"ENT Department, Nicosia General Hospital, Nicosia, 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