1. Carotid artery reconstruction following resection during radical neck dissection
- Author
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Jean Pierre Maurice, Christian Jacques Gérard Soulier, Bernard Faidutti, Abdelkarim S. Allal, Willy Lehmann, and Pavel Dulguerov
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,ddc:616.0757 ,Carcinoma, Squamous Cell/surgery ,Metastasis ,Veins ,medicine ,Humans ,Lymph node ,Aged ,Head and Neck Neoplasms/surgery ,business.industry ,Head and neck cancer ,Neck dissection ,Middle Aged ,medicine.disease ,Carotid Artery, Internal/surgery ,Surgery ,ddc:616.8 ,Plastic surgery ,medicine.anatomical_structure ,Otorhinolaryngology ,Epidermoid carcinoma ,Head and Neck Neoplasms ,Lymphatic Metastasis ,Veins/transplantation ,Carcinoma, Squamous Cell ,Neck Dissection ,Lymphadenectomy ,business ,Complication ,Vascular Surgical Procedures ,Carotid Artery, Internal - Abstract
From 1972 to 1991, 7 patients with advanced cancer of the head and neck and nodal metastasis with capsular rupture underwent radical neck dissection and sacrifice of the carotid artery. Vascular reconstruction was performed with either an autologous venous (8 cases) or arterial (1 case) graft. In all patients, the postoperative course was uneventful without neurologic complications. One patient is alive 4 years after the procedure. Six patients expired after a mean survival of 20 months. The indications for vascular reconstruction are discussed.
- Published
- 1998