{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T19:27:44Z","timestamp":1775503664847,"version":"3.50.1"},"reference-count":24,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Adenoidectomy is one of the world\u2019s most frequently performed surgical procedures. Although the operation is relatively simple and with a very low percentage of complications, it can sometimes be accompanied by fatal complications. One such scenario arises when an unrecognized aberrant course of the internal carotid artery is present, particularly if the artery is near or in contact with the oropharynx or nasopharynx. Methods: This report presents the case of a 3-year-old girl scheduled for adenoidectomy and the placement of ear aeration tubes. Following intubation, the oro-nasopharynx was inspected during the procedure, revealing a pulsatile mass suspected to be an aberrant right internal carotid artery (ICA). Results: A contrast-enhanced MSCT of the neck was performed, confirming the presence of an aberrant right carotid artery in direct contact with the posterior wall of the nasopharynx. Conclusions: In conclusion, a thorough visual and palpable examination by an otorhinolaryngologist after the induction of anesthesia, with the child\u2019s neck in extension, is crucial for identifying aberrant carotid artery courses. Such careful assessment can help prevent potentially fatal complications.<\/jats:p>","DOI":"10.3390\/children12020139","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T04:59:10Z","timestamp":1737953950000},"page":"139","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Surgical Hazard During Adenoidectomy in Children\u2014A Case Report"],"prefix":"10.3390","volume":"12","author":[{"given":"\u017deljka","family":"Roje","sequence":"first","affiliation":[{"name":"Private Practice of Otorhinolaryngology, 21 000 Split, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5283-6051","authenticated-orcid":false,"given":"Zlatko","family":"Kljaji\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Maritime Studies, University of Split, R. Boskovica 37, 21 000 Split, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kre\u0161imir","family":"Koli\u0107","sequence":"additional","affiliation":[{"name":"Clinical Department of Diagnostic and Interventional Radiology, University Hospital Center Split, 21 000 Split, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darko","family":"Ili\u0107","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Intensive Care, University Hospital Split, 21 000 Split, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.5606\/kbbihtisas.2016.32815","article-title":"Adenoidectomy: Current approaches and review of the literature","volume":"26","author":"Babakurban","year":"2016","journal-title":"Kulak Burun Bogaz Ihtis. Derg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2317","DOI":"10.1001\/jama.2022.8679","article-title":"Association of Patient Characteristics with Postoperative Mortality in Children Undergoing Tonsillectomy in 5 US States","volume":"327","author":"Edmonson","year":"2022","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Quang, V.L., and Nguyen, V.T. (2020). \u201cVery High-Grade\u201d Pulsatile Mass of an Aberrant Internal Carotid Artery in the Nasopharyngeal Wall: A Case Report and Review of Literature. Am. J. Case Rep., 21.","DOI":"10.12659\/AJCR.921967"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1007\/s00276-021-02771-0","article-title":"Aberrant internal carotid artery in the oropharynx space poses a life-threatening risk of surgery","volume":"43","author":"Huang","year":"2021","journal-title":"Surg. Radiol. Anat."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.ijporl.2005.07.002","article-title":"Intraoperative evaluation of a pulsatile oropharyngeal mass during adenotonsillectomy","volume":"70","author":"Wasserman","year":"2006","journal-title":"Int. J. Pediatr. 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Psychiatry"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"259.e5","DOI":"10.1016\/j.ajem.2009.06.024","article-title":"Abberant internal carotid artery in the mouth mimicking peritonsillar abscess","volume":"28","author":"Lo","year":"2010","journal-title":"Am. J. Emerg. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1007\/s10006-020-00845-8","article-title":"Retropharyngeal internal carotid artery: A review of three cases","volume":"24","author":"Garrido","year":"2020","journal-title":"Oral. Maxillofac. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"431","DOI":"10.4103\/neuroindia.NI_1210_15","article-title":"Bilateral retropharyngealinternal carotid artery: A rare and potentially fatal anatomic variation","volume":"65","author":"Prakash","year":"2017","journal-title":"Neurol. India"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/2\/139\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:36:53Z","timestamp":1759919813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/2\/139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,27]]},"references-count":24,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["children12020139"],"URL":"https:\/\/doi.org\/10.3390\/children12020139","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,27]]}}}