Unilateral Aberrant Internal Carotid Artery in the Middle Ear: A Case Report Presenting with Pulsatile Tinnitus

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Very good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Excellent

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very good

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments:

This study reports a case about an internal carotid abnormality who showed only pulsatile tinnitus in its clinical presentation. The case description is adequate. The report is well supported with briefly explained figures. The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. The report states thin section computed tomography (CT) to be the standard for diagnosis because it is very helpful in identifying the dehiscence of the bony canal of the internal carotid artery (ICA) and the relation between ICA and middle ear structures. The study aptly Concludes that the otolaryngologist had to keep in mind and consider the possibility of an aberrant ICA in otologic patients to prevent possible dramatic surgical complications.

Literature

Q: Does the author utilize relevant literature?

A: Very good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Very good

Further comments on the paper

Comments: This case report presents the case of a 42-year-old woman who presented with persistent unilateral pulsatile tinnitus. This study holds significance as the prevalence of aberrant internal carotid artery (ICA) in the middle ear is very low and it represents a potentially life-threatening anatomical variation that requires an accurate diagnosis to prevent catastrophic complications such as massive hemorrhage during otologic procedures. The report further states that an aberrant ICA in the tympanic cavity is a rare and particularly dangerous condition.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team