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Preoperative MRI diagnostics of the topographic features of neck arteries in the patients presenting with chronic tonsillitis.

Abstract The objective of the present study was to determine the frequency of abnormalities of the major neck vessels and elucidate the specific features of blood supply of palatine tonsil based on the results of MRI performed in the vasculature-targeting regimen. A total of 109 patients presenting with chronic tonsillitis (including 64 women and 45 men at the age varying from 15 to 54 years) were available for the examination. All the patients underwent the MRI diagnostic study of the neck vessels by way of the preliminary evaluation of their condition at the pre-hospital stage. Abnormalities in the internal carotid artery were documented in 11.9% of the cases (including C- and S-shaped tortuosity of internal carotid artery in 6.88%, kinking and coiling of internal carotid artery in 4.13% and 0.92% of the patients, respectively). The majority of the detected abnormalities were located above the upper pole of the palatine tonsil which allowed to avoid the risk of the injury to the main neck vessels and prevented possible hemorrhage. One patient (0.46%) presented with kinking of the right internal carotid artery located in the immediate proximity to the capsule of the palatine tonsil close to its mid-third portion. There was no evidence that the present study gave rise to any malformation of the internal carotid artery and internal jugular vein. The proposed diagnostic method makes it possible to detect a rare anatomical feature of the development of the internal carotid artery discovered in a single patient (0.04%) out of the 2398 operated ones. This finding is of clinical significance and needs to be borne in mind when preparing the planned surgical intervention for the treatment of chronic tonsillitis. The results of the present study should be taken into consideration when prescribing the surgical treatment to the patients suffering not only from chronic tonsillitis but also from other ENT diseases, in the first place pharyngotympanic tube pathology.
PMID
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Authors

Mayor MeshTerms

Carotid Artery, Internal

Intraoperative Complications

Jugular Veins

Neck

Tonsillectomy

Tonsillitis

Vascular Malformations

Vascular System Injuries

Keywords
Journal Title vestnik otorinolaringologii
Publication Year Start




PMID- 28514360
OWN - NLM
STAT- MEDLINE
DA  - 20170517
DCOM- 20170710
LR  - 20170713
IS  - 0042-4668 (Print)
IS  - 0042-4668 (Linking)
VI  - 82
IP  - 2
DP  - 2017
TI  - [Preoperative MRI diagnostics of the topographic features of neck arteries in the
      patients presenting with chronic tonsillitis].
PG  - 29-32
LID - 10.17116/otorino201782229-32 [doi]
AB  - The objective of the present study was to determine the frequency of
      abnormalities of the major neck vessels and elucidate the specific features of
      blood supply of palatine tonsil based on the results of MRI performed in the
      vasculature-targeting regimen. A total of 109 patients presenting with chronic
      tonsillitis (including 64 women and 45 men at the age varying from 15 to 54
      years) were available for the examination. All the patients underwent the MRI
      diagnostic study of the neck vessels by way of the preliminary evaluation of
      their condition at the pre-hospital stage. Abnormalities in the internal carotid 
      artery were documented in 11.9% of the cases (including C- and S-shaped
      tortuosity of internal carotid artery in 6.88%, kinking and coiling of internal
      carotid artery in 4.13% and 0.92% of the patients, respectively). The majority of
      the detected abnormalities were located above the upper pole of the palatine
      tonsil which allowed to avoid the risk of the injury to the main neck vessels and
      prevented possible hemorrhage. One patient (0.46%) presented with kinking of the 
      right internal carotid artery located in the immediate proximity to the capsule
      of the palatine tonsil close to its mid-third portion. There was no evidence that
      the present study gave rise to any malformation of the internal carotid artery
      and internal jugular vein. The proposed diagnostic method makes it possible to
      detect a rare anatomical feature of the development of the internal carotid
      artery discovered in a single patient (0.04%) out of the 2398 operated ones. This
      finding is of clinical significance and needs to be borne in mind when preparing 
      the planned surgical intervention for the treatment of chronic tonsillitis. The
      results of the present study should be taken into consideration when prescribing 
      the surgical treatment to the patients suffering not only from chronic
      tonsillitis but also from other ENT diseases, in the first place pharyngotympanic
      tube pathology.
FAU - Kryukov, A I
AU  - Kryukov AI
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Tsarapkin, G Yu
AU  - Tsarapkin GY
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Ivanchikov, A A
AU  - Ivanchikov AA
AD  - 'MRT-SITI' MRI Diagnostics Center, Moscow, Russia, 115114.
FAU - Tovmasyan, A S
AU  - Tovmasyan AS
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Kolbanova, I G
AU  - Kolbanova IG
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Arzamazov, S G
AU  - Arzamazov SG
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Panasov, S A
AU  - Panasov SA
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Gorovaya, E V
AU  - Gorovaya EV
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
FAU - Kakorin, A S
AU  - Kakorin AS
AD  - L.I. Sverzhevsky Research and Clinical Institute of Otorhinolaryngology, Moscow
      Health Department, Moscow, Russia, 117152.
LA  - rus
PT  - Journal Article
TT  - Predoperatsionnaia MRT-diagnostika topografii sosudov shei u patsientov s
      khronicheskim tonzillitom.
PL  - Russia (Federation)
TA  - Vestn Otorinolaringol
JT  - Vestnik otorinolaringologii
JID - 0416577
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Carotid Artery, Internal/abnormalities/diagnostic imaging
MH  - Chronic Disease
MH  - Female
MH  - Humans
MH  - *Intraoperative Complications/etiology/prevention & control
MH  - *Jugular Veins/abnormalities/diagnostic imaging
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Middle Aged
MH  - *Neck/blood supply/diagnostic imaging
MH  - Patient Outcome Assessment
MH  - Preoperative Care/methods
MH  - *Tonsillectomy/adverse effects/methods
MH  - *Tonsillitis/complications/diagnosis/surgery
MH  - *Vascular Malformations/complications/diagnosis
MH  - *Vascular System Injuries/etiology/prevention & control
EDAT- 2017/05/18 06:00
MHDA- 2017/07/14 06:00
CRDT- 2017/05/18 06:00
PST - ppublish
SO  - Vestn Otorinolaringol. 2017;82(2):29-32. doi: 10.17116/otorino201782229-32.