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  Vol. 86 No. 2, August 1967 TABLE OF CONTENTS
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Carotid Artery Protection and a New Technique

Howard B. Cheek, MD; Edwin N. Rise, MD, MS

Arch Otolaryngol. 1967;86(2):179-182.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

RUPTURE OF THE carotid artery following neck dissection is one of the most serious complications of head and neck surgery in cancer patients. If survival occurs after massive carotid hemorrhage, mandatory ligation of the carotid may be associated with 50% mortality rate.1 On the other hand ligation of the carotid for neurosurgical procedures may be associated with a mortality rate of 10%. The most important factors which may relate to the higher rate in the cancer patients are arteriosclerosis, low blood volume, borderline nutritional status and circulatory instability. These statistics only partially reflect the gravity of this problem since the morbidity of carotid ligation may also be catastrophic. It is the aim of this paper to discuss the problem and methods of carotid artery protection and to present a new technique.

Factors Predisposing to Carotid Rupture

There is a trend in the management of head and neck cancer toward . . . [Full Text PDF of this Article]


Author Affiliations

Memphis

From the Division of Otolaryngology, University of Tennessee, Memphis.


Footnotes

Accepted for publication Dec 27, 1966.

Read before the Otolaryngology Section, Tennessee Medical Association, Gatlinburg, Tenn, April 16, 1966.

Reprint requests to 916 N State St, Jackson, Miss 39201 (Dr. Cheek).



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