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Their Use in Large Tumors in the Neck Attached to the Carotid Artery

Willard E. Fee, Jr, MD; Don R. Goffinet, MD; Shyam Paryani, MD, MS; Richard L. Goode, MD; Paul A. Levine, MD; Martin L. Hopp, MD

Arch Otolaryngol. 1983;109(11):727-730.

Abstract
• Twenty-nine patients with large masses attached to the carotid artery underwent surgical resection, preservation of the artery, and intraoperative iodine 125 implantation via an absorbable suture. Eighteen were treated for recurrent neoplasms, having failed prior surgery and/or irradiation therapy. Eleven were treated primarily. With a minimum follow-up of one year, 76% were disease free in the implant volume and 62% were disease free in the entire neck. Distant metastases occurred in 45%. Mean survival was 15 months in the primary group (range, two to 50 months) and 12 months in the recurrent group (range, four to 26 months). This technique shows promise in providing local control without necessity for sacrifice of the carotid artery.

(Arch Otolaryngol 1983;109:727-730)

Author Affiliations
From the Divisions of Otolaryngology/Head and Neck Surgery (Drs Fee, Goode, Levine, and Hopp) and Radiation Therapy (Drs Goffinet and Paryani), Stanford (Calif) University Medical Center.

Footnotes
Accepted for publication May 13, 1983.

Read before the American Society for Head and Neck Surgery, Palm Springs, Calif, March 13, 1983.

Reprint requests to Division of Otolaryngology/Head and Neck Surgery, Stanford University Medical School, R-135, Stanford, CA 94305 (Dr Fee).

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