Carotid Artery Medialization in Velocardiofacial Syndrome: Importance of Nasoendoscopy
Issued Date
2024-01-01
Resource Type
ISSN
10492275
eISSN
15363732
Scopus ID
2-s2.0-85213235964
Journal Title
Journal of Craniofacial Surgery
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Craniofacial Surgery (2024)
Suggested Citation
Moore M.H., Chaisrisawadisuk S., Richards C. Carotid Artery Medialization in Velocardiofacial Syndrome: Importance of Nasoendoscopy. Journal of Craniofacial Surgery (2024). doi:10.1097/SCS.0000000000011025 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102588
Title
Carotid Artery Medialization in Velocardiofacial Syndrome: Importance of Nasoendoscopy
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Author's Affiliation
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Abstract
Velocardiofacial syndrome (VCFS), also known as 22q11.2 deletion syndrome or DiGeorge syndrome, is a complex genetic disorder associated with a spectrum of phenotypic features, including craniofacial anomalies, congenital heart defects, and neurodevelopmental challenges. Among the more concerning, though under-recognized, presentation in VCFS is carotid artery medialization—a finding that places patients at substantial risk for vascular injury during pharyngeal surgeries. This report presents a case of VCFS in which carotid artery medialization was dramatically demonstrated during nasoendoscopic evaluation for velopharyngeal incompetence. The findings underscore the importance of comprehensive preoperative imaging in patients with VCFS to minimize surgical risk and optimize outcomes.