Abstract
An aerrant internal carotid artery (ICA) with chronic otitis media is reported in this paper. The patient was a 58-year-old female. A pulsatile mass was seen through the perforation of the tympanic membrane, and CT scan showed a defect of the lateral bone of ICA. Type I tympanoplasty was performed and the aberrant ICA was covered with auricular cartilage. Here we discuss the clinical presentation, radiographic investigations and management of this patient.