PMC9450605_01
Multiple injuries patient.
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A 50 year old male, street dweller, chronic alcoholic, demented, was admitted to the hospital with multiple cranio-facial injuries, among them he had an ethmoidal fracture, small laminar subdural hematoma, internal carotid thrombosis on the right side and a foreign body that could be seen in the right external acoustic meatus (Figure 1, Figure 2).
Foreign body in the right side external acoustic meatus.
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A 50 year old male, street dweller, chronic alcoholic, demented, was admitted to the hospital with multiple cranio-facial injuries, among them he had an ethmoidal fracture, small laminar subdural hematoma, internal carotid thrombosis on the right side and a foreign body that could be seen in the right external acoustic meatus (Figure 1, Figure 2).
Foreign body in the external acoustic meatus and middle ear, dislocating the ossicular chain towards the mastoid region.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
Foreign body filling up the middle ear.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
Foreign body in the right Eustachian Tube, compared to the left tube.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
View of the left tube, with the CT scan for comparison.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
Blue - cochlea in red - carotid canal in green - central nervous system in yellow - part of the tube filled by the foreign body.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
View of the right side Eustachian tube, filled by the foreign body.
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There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
Foreign body schematics to enhance view.
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fig7a
There was an injury in the carotid canal and thrombosis in the internal carotid artery (Figure 3, Figure 4, Figure 5, Figure 6, Figure 6a, Figure 7, Figure 7a), in its furcation, proven by arteriogram (Figure 8, Figure 9, Figure 9a).
Side view arteriogram, noticing the thrombosis blocking the entire right side carotid artery.
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The broad cavity left behind in the tube was filled with muscle and the surgical wound was similar to that left after a canal wall down mastoidectomy (Figure 10, Figure 11, Figure 12, Figure 13, Figure 14).
Coronal view with thrombosis blocking the entire right carotid artery.
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The broad cavity left behind in the tube was filled with muscle and the surgical wound was similar to that left after a canal wall down mastoidectomy (Figure 10, Figure 11, Figure 12, Figure 13, Figure 14).
Left carotid coronal view to compare and the circulation at the Willis polygon.
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The broad cavity left behind in the tube was filled with muscle and the surgical wound was similar to that left after a canal wall down mastoidectomy (Figure 10, Figure 11, Figure 12, Figure 13, Figure 14).
Postoperative cavity, similar to a canal wall down procedure.
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The broad cavity left behind in the tube was filled with muscle and the surgical wound was similar to that left after a canal wall down mastoidectomy (Figure 10, Figure 11, Figure 12, Figure 13, Figure 14).
Postoperative cavity, notice lesion in the inferior semicircular canal.
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The broad cavity left behind in the tube was filled with muscle and the surgical wound was similar to that left after a canal wall down mastoidectomy (Figure 10, Figure 11, Figure 12, Figure 13, Figure 14).