Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study

<i>Background and Objectives</i>: 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 in...

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Main Authors: Bogdan Mihail Cobzeanu, Vasilica Baldea, Victor Vlad Costan, Mihail Dan Cobzeanu, Octavian Dragos Palade, Liliana Gheorghe, Luminita Radulescu, Florentina Severin, Corina Lupascu Ursulescu, Geanina Bandol, Cristian Martu, Andrei Mihail Rosu, Maria Luiza Cobzeanu
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/6/1057
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author Bogdan Mihail Cobzeanu
Vasilica Baldea
Victor Vlad Costan
Mihail Dan Cobzeanu
Octavian Dragos Palade
Liliana Gheorghe
Luminita Radulescu
Florentina Severin
Corina Lupascu Ursulescu
Geanina Bandol
Cristian Martu
Andrei Mihail Rosu
Maria Luiza Cobzeanu
author_facet Bogdan Mihail Cobzeanu
Vasilica Baldea
Victor Vlad Costan
Mihail Dan Cobzeanu
Octavian Dragos Palade
Liliana Gheorghe
Luminita Radulescu
Florentina Severin
Corina Lupascu Ursulescu
Geanina Bandol
Cristian Martu
Andrei Mihail Rosu
Maria Luiza Cobzeanu
author_sort Bogdan Mihail Cobzeanu
collection DOAJ
description <i>Background and Objectives</i>: 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). <i>Materials and Methods:</i> 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. <i>Results:</i> 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. <i>Conclusions:</i> 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.
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spelling doaj.art-bd39e5b5a8924f6aa3966182344af9522023-11-18T11:30:50ZengMDPI AGMedicina1010-660X1648-91442023-05-01596105710.3390/medicina59061057Anatomical Variants of Internal Carotid Artery—Results from a Retrospective StudyBogdan Mihail Cobzeanu0Vasilica Baldea1Victor Vlad Costan2Mihail Dan Cobzeanu3Octavian Dragos Palade4Liliana Gheorghe5Luminita Radulescu6Florentina Severin7Corina Lupascu Ursulescu8Geanina Bandol9Cristian Martu10Andrei Mihail Rosu11Maria Luiza Cobzeanu12Faculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, RomaniaFaculty of Medicine, University of Medicine and Pharmacy “Grigore T. Popa”, 700115 Iasi, Romania<i>Background and Objectives</i>: 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). <i>Materials and Methods:</i> 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. <i>Results:</i> 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. <i>Conclusions:</i> 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.https://www.mdpi.com/1648-9144/59/6/1057internal carotid arteryanatomic variantsendoscopic sinus surgeryparanasal sinuses
spellingShingle Bogdan Mihail Cobzeanu
Vasilica Baldea
Victor Vlad Costan
Mihail Dan Cobzeanu
Octavian Dragos Palade
Liliana Gheorghe
Luminita Radulescu
Florentina Severin
Corina Lupascu Ursulescu
Geanina Bandol
Cristian Martu
Andrei Mihail Rosu
Maria Luiza Cobzeanu
Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
Medicina
internal carotid artery
anatomic variants
endoscopic sinus surgery
paranasal sinuses
title Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
title_full Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
title_fullStr Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
title_full_unstemmed Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
title_short Anatomical Variants of Internal Carotid Artery—Results from a Retrospective Study
title_sort anatomical variants of internal carotid artery results from a retrospective study
topic internal carotid artery
anatomic variants
endoscopic sinus surgery
paranasal sinuses
url https://www.mdpi.com/1648-9144/59/6/1057
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