报告一例颈内动脉颅外段巨大动脉瘤外科处理的经验，介绍面颈联合径路使鼻咽、口咽侧壁得到良好的暴露，本例行单纯切除。术后无神经系统后遗症。对颈内动脉颅外段动脉瘤的病因、临床表现及外科处理方法进行了讨论。 Reported a case of surgical treatment of extracranial extracranial giant aneurysms of internal carotid arteries. It was reported that the combined facial and cervical approach resulted in good exposure of the nasopharyngeal and oropharyngeal wall. This case was performed with simple resection. No neurological sequelae after surgery. The etiology, clinical manifestations and surgical treatment of extracranial internal carotid artery aneurysms were discussed.