Article ID Journal Published Year Pages File Type
3132500 International Journal of Oral and Maxillofacial Surgery 2013 6 Pages PDF
Abstract

The surgical management of advanced cervical metastases with carotid artery involvement in patients with primary squamous cell carcinoma of the head and neck can be difficult. The authors retrospectively reviewed 73 patients over a 15-year period comparing the outcomes of carotid artery resection versus peeling the tumour off the carotid artery. Based on these findings, the authors suggest that in the absence of carotid wall involvement, nodal metastatic tumour should be peeled off the carotid artery where possible. This practice appears to have a lower morbidity than that associated with arterial reconstruction. Steps to minimize cerebrovascular injury are discussed.

Related Topics
Health Sciences Medicine and Dentistry Dentistry, Oral Surgery and Medicine
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