case_images: PMC9450605_01
case_images: Multiple injuries patient.
case_images: gr1.jpg
case_images: PMC9450605_01_gr1.jpg
case_images: fig1
case_images: 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).
case_images: Foreign body in the right side external acoustic meatus.
case_images: gr2.jpg
case_images: PMC9450605_01_gr2.jpg
case_images: fig2
case_images: 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).
case_images: Foreign body in the external acoustic meatus and middle ear, dislocating the ossicular chain towards the mastoid region.
case_images: gr3.jpg
case_images: PMC9450605_01_gr3.jpg
case_images: fig3
case_images: 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).
case_images: Foreign body filling up the middle ear.
case_images: gr4.jpg
case_images: PMC9450605_01_gr4.jpg
case_images: fig4
case_images: 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).
case_images: Foreign body in the right Eustachian Tube, compared to the left tube.
case_images: gr5.jpg
case_images: PMC9450605_01_gr5.jpg
case_images: fig5
case_images: 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).
case_images: View of the left tube, with the CT scan for comparison.
case_images: gr6.jpg
case_images: PMC9450605_01_gr6.jpg
case_images: fig6
case_images: 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).
case_images: Blue - cochlea in red - carotid canal in green - central nervous system in yellow - part of the tube filled by the foreign body.
case_images: gr6a.jpg
case_images: PMC9450605_01_gr6a.jpg
case_images: fig6a
case_images: 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).
case_images: View of the right side Eustachian tube, filled by the foreign body.
case_images: gr7.jpg
case_images: PMC9450605_01_gr7.jpg
case_images: fig7
case_images: 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).
case_images: Foreign body schematics to enhance view.
case_images: gr7a.jpg
case_images: PMC9450605_01_gr7a.jpg
case_images: fig7a
case_images: 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).
case_images: Side view arteriogram, noticing the thrombosis blocking the entire right side carotid artery.
case_images: gr8.jpg
case_images: PMC9450605_01_gr8.jpg
case_images: fig8
case_images: 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).
case_images: Coronal view with thrombosis blocking the entire right carotid artery.
case_images: gr9.jpg
case_images: PMC9450605_01_gr9.jpg
case_images: fig9
case_images: 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).
case_images: Left carotid coronal view to compare and the circulation at the Willis polygon.
case_images: gr9a.jpg
case_images: PMC9450605_01_gr9a.jpg
case_images: fig9a
case_images: 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).
case_images: Postoperative cavity, similar to a canal wall down procedure.
case_images: gr10.jpg
case_images: PMC9450605_01_gr10.jpg
case_images: fig10
case_images: 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).
case_images: Postoperative cavity, notice lesion in the inferior semicircular canal.
case_images: gr11.jpg
case_images: PMC9450605_01_gr11.jpg
case_images: fig11
case_images: 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).