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Two Cases of Reconstruction of the Carotid Artery in Head and Neck Carcinomas Noriyuki Kamiya 1 , Isao Yamamoto 2 1Department of Otorhinolaryngology, Yokohama City University, School of Medicine 2Department of Neurosurgery, Yokohama City University, School of Medicine pp.751-756
Published Date 1993/9/20
DOI https://doi.org/10.11477/mf.1411900777
  • Abstract
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It is necessary to resect a part of the carotid artery when metastatic lymph nodes of head and neck carcinomas invade the wall of the carotid artery. However, the high rates of com-plications and death caused by cerebral vascular insufficiency after the carotid artery resection have been reported. In this paper, two patients with head and neck cancer treated with carotid artery resection and vascular replacement were reported. The indication of the reconstruction of the carotid artery should be determined preope-ratively. CT and MRI have some advantages in investigating the relationship between the tumor and the carotid artery and the other soft tissues in the neck. By using of radiogra-phy, echography, Gallium and bone scintigram, and thoraco-abdominal CT, it is indispensable to detect distant metastasis. Angiography is useful to assess the crossover flow from the con-tralateral carotid. Furthermore, the Matas test with monitoring electroencephalogram is reliable to determine the patient's tolerance for carotid ligation.


Copyright © 1993, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院

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