Pharyngomaxillary Space Abscess With Carotid Artery Erosion

Pseudoaneurysm of the internal carotid artery: A forgotten complication of tonsillitis?

“…Many patients have a palpable neck mass (Woodruff, 1945;Metson, 1956;Hogarth, 1959;Todman, 1960;Alexander et al, 1968;Langenbrunner and Dajani, 1971;Stevens, 1990), but the few enlarged nodes seen in our patient rapidly resolved on benzylpenicillin. Neurological involvement may occur, particularly in the form of an ipsilateral Homer's syndrome (Zook and Glover, 1970;Blum and McCaffrey, 1983), but cranial nerves VII, IX, X, XI, XII may also be affected (Metson, 1956;Alexander et al, 1968;Zook and Glover, 1970;Eneroth and Tham, 1971;Langenbrunner and Dajani, 1971;Gilchrist, 1973). Recovery may occur after appropriate treatment (Zook and Glover, 1970;Eneroth and Tham, 1971).…”

Necrotizing Fasciitis

“…Location in the neck is a rare but severe presentation associated with high mortality, 35,36 owing to carotid…”

Sentinel ear bleed as a presenting sign for carotid artery blowout due to aspergillus abscess in parapharyngeal space in an immunocompetent infant

“…Rupture of a major artery in the neck secondary to an abscess should be suspected when the following clinical findings are present: recurrent small haemorrhages, protracted clinical course of 7–14 days and haematoma of the surrounding tissue with or without shock 3. Also, if blood clots are found on exploration or drainage of an abscess, a carotid artery rupture should be expected 8. A case series with a large cohort of 227 patients having haemorrhages due to deep neck abscesses reported that 62% of haemorrhages were from the internal carotid artery 2.…”