Internal carotid artery (ICA) injury is a hazardous catastrophe for the skull base surgery team. We aimed to illustrate the vital joints in this hazardous event during endoscopic surgery. The condition is rare (1.1%) but fatal per se. Working in the field of endoscopic surgery is not free of charges. It demands a thorough knowledge of anatomy, variations, and pathoanatomy to expect what can be seen thereafter. Once the injury occurs, one must have a quite clear plan to proceed. Marvelous bleeding is confusing not only in the field but also in the mind process. Endoscope teams when expose to this event should think in a stepwise manner. In our review, we explained the pathoanatomy of the field after an injury, pre-conditions of injury, and how to avoid certain drawbacks during management.

中文翻译：

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经蝶窦手术中颈内动脉（ICA）的无意损伤：文献综述

对于颅底外科手术团队来说，颈内动脉（ICA）损伤是一场危险的灾难。我们旨在说明内窥镜手术中这种危险事件中的重要关节。这种情况很少见（1.1％），但本身就是致命的。在内窥镜手术领域的工作并非免费。它要求对解剖学，变异和病理解剖学有透彻的了解，以期以后能看到什么。一旦发生伤害，就必须有一个相当明确的计划来进行。奇妙的流血不仅在现场而且在思维过程中也令人困惑。内窥镜团队在经历此事件时应分步思考。在我们的综述中，我们解释了受伤后野外的病理解剖，受伤的先决条件以及在管理过程中如何避免某些弊端。