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Carotid Resection and Reconstruction for Locally Advanced Head and Neck Tumors.

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Title: Carotid Resection and Reconstruction for Locally Advanced Head and Neck Tumors.
Authors: Muhm, Manfred, Grasl, Matthaeus Ch., Burian, Martin, Exadaktylos, Aris, Staudacher, Michael, Polterauer, Peter
Source: Acta Oto-Laryngologica. Jul2002, Vol. 122 Issue 5, p561-564. 4p.
Subjects: Carotid artery surgery, Surgical excision, Head tumors, Neck tumors
Abstract: Head and neck surgeons hesitate to resect the carotid artery because of the postoperative risk of neurologic sequelae. However, there is no curative therapeutic option for head and neck neoplasms involving the carotid artery, with the exception of complete tumor removal. To evaluate the benefits and risks of carotid revascularization techniques in locally advanced head and neck tumors we performed a retrospective analysis in an institutional, tertiary care medical center. Seven patients (5 males, 2 females) with a median age of 58 years underwent en bloc removal of locally advanced head and neck tumors, including carotid resection and revascularization, in the University of Vienna General Hospital, over a 15-year period. In six patients carotid reconstruction was accomplished by bypass grafting (five autologous grafts, one synthetic graft) and in one patient angiopatchplasty was used. There were no perioperative neurologic complications or deaths. Survival was >12 months in 5/7 patients; the other 2 patients died within 6 months due to untractable progression of cancer. We conclude that carotid revascularization techniques offer the possibility of better local control for advanced head and neck tumors without additional risks of neuromorbidity or mortality. [ABSTRACT FROM AUTHOR]
Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Carotid Resection and Reconstruction for Locally Advanced Head and Neck Tumors.
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  Data: <searchLink fieldCode="DE" term="%22Carotid+artery+surgery%22">Carotid artery surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+excision%22">Surgical excision</searchLink><br /><searchLink fieldCode="DE" term="%22Head+tumors%22">Head tumors</searchLink><br /><searchLink fieldCode="DE" term="%22Neck+tumors%22">Neck tumors</searchLink>
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  Data: Head and neck surgeons hesitate to resect the carotid artery because of the postoperative risk of neurologic sequelae. However, there is no curative therapeutic option for head and neck neoplasms involving the carotid artery, with the exception of complete tumor removal. To evaluate the benefits and risks of carotid revascularization techniques in locally advanced head and neck tumors we performed a retrospective analysis in an institutional, tertiary care medical center. Seven patients (5 males, 2 females) with a median age of 58 years underwent en bloc removal of locally advanced head and neck tumors, including carotid resection and revascularization, in the University of Vienna General Hospital, over a 15-year period. In six patients carotid reconstruction was accomplished by bypass grafting (five autologous grafts, one synthetic graft) and in one patient angiopatchplasty was used. There were no perioperative neurologic complications or deaths. Survival was >12 months in 5/7 patients; the other 2 patients died within 6 months due to untractable progression of cancer. We conclude that carotid revascularization techniques offer the possibility of better local control for advanced head and neck tumors without additional risks of neuromorbidity or mortality. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/00016480260092417
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        Text: English
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      – SubjectFull: Carotid artery surgery
        Type: general
      – SubjectFull: Surgical excision
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      – SubjectFull: Head tumors
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      – SubjectFull: Neck tumors
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              Text: Jul2002
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