Background: Adenoidectomy is one of the world’s most frequently performed surgical procedures. Although the operation is relatively simple and with a very low percentage of complications, it can sometimes be accompanied by fatal complications. One such scenario arises when an unrecognized aberrant course of the internal carotid artery is present, particularly if the artery is near or in contact with the oropharynx or nasopharynx. Methods: This report presents the case of a 3-year-old girl scheduled for adenoidectomy and the placement of ear aeration tubes. Following intubation, the oro-nasopharynx was inspected during the procedure, revealing a pulsatile mass suspected to be an aberrant right internal carotid artery (ICA). Results: A contrast-enhanced MSCT of the neck was performed, confirming the presence of an aberrant right carotid artery in direct contact with the posterior wall of the nasopharynx. Conclusions: In conclusion, a thorough visual and palpable examination by an otorhinolaryngologist after the induction of anesthesia, with the child’s neck in extension, is crucial for identifying aberrant carotid artery courses. Such careful assessment can help prevent potentially fatal complications.

Healthcare is vital to quality of life in any context, including on-board cruise ships, a key segment of nautical tourism. Cruises have grown in popularity as a leisure activity, leading to the hierarchical development of management within the cruise industry, from corporate levels to individual ships. Each ship operates a chain management system where the infirmary and pharmacy are central to ensuring passenger health and safety. This raises questions about the quality and capacity of healthcare services aboard, particularly the ship's ability to manage complex medical conditions and injuries, as well as its connection to onshore healthcare facilities. Ship infirmaries have inherent limitations in addressing all possible medical scenarios, emphasizing the need for efficient links with port-based healthcare services. Equally important are the capabilities of the infirmary during voyages when shore-based medical help is unavailable. To explore these issues, the research has included desk studies and sample-based statistical analysis. Findings reveal that on-board healthcare and pharmaceutical services meet high standards, supported by effective collaboration with ports and hospitals at destinations. This collaboration ensures passenger confidence, with the availability of healthcare services on-board having minimal impact on the decision to cruise. Surveys indicate high levels of satisfaction with infirmary and pharmacy services, along with efficient connectivity to shore-based facilities. However, disparities in healthcare quality across various global ports raise concerns about accessibility and adequacy of medical services in less developed regions. To address these challenges, cruise management employs a control-oriented system emphasising continuous monitoring and planning. This approach ensures consistent healthcare quality, sustaining passenger confidence and satisfaction during voyages. By integrating on-board systems with onshore resources, cruise liners maintain high service standards, despite the varying healthcare infrastructure in different regions.

Nowadays, vestibular diseases are quite common in the population and significantly impair quality of life. Additionally, a notable problem is that a certain number of patients experience psychological consequences. Therefore, it is important to investigate the connection between vestibular damage and the potential need for psychological intervention. This study aims to examine the correlation between anxiety in individuals with unilateral peripheral vestibular disorder in relation to gender, age, and the existence of acute and chronic, compensated and uncompensated, partial and complete unilateral peripheral vestibular disorder. Additionally, it was important to determine the degree of free-floating anxiety, phobia-related anxiety, obsessiveness, somatic manifestations, depression, and hysteria in these patients using the Crown-Crisp Experience Index questionnaire. The study included 54 patients, 39 (72%) female and 15 (28%) male, with an average age of 61.5 ± 13.5 years. Results showed that the majority of participants had pronounced somatic anxiety (29.6%), followed by depression (14.8%), free-floating anxiety (9.4%), phobia-related anxiety (7.4%) and hysteria (7.4%) equally represented, and obsessiveness (1.8%) being the least pronounced. Nearly all participants (94%) were diagnosed with chronic hypofunction due to presenting for examination and diagnostic processing after the acute phase of the disease had ended. To conclude, no significant differences were observed in the common symptoms or personality traits within conventional categories of psychoneurotic and neurotic symptomatology concerning gender or the presence of vestibular hypofunction.