Cranial nerve injuring during carotid endarterectomy.
Injury to the greater auricular, hypoglossal and superior laryngeal nerves during carotid endarterectomy is preventable. A knowledge of regional anatomy and the mechanisms of such injury allows prevention of this complication. Unilateral individual nerve injury is generally well tolerated, but bilateral or combined nerve injuries can pose a serious threat to life. Minor modifications in technique aid greatly in avoiding nerve injury.
D000368:Aged; D002339:Carotid Arteries / Q000601:surgery*; D020209:Cranial Nerve Injuries; D003391:Cranial Nerves / Q000033:anatomy & histology; D004691:Endarterectomy / Q000009:adverse effects*; D005154:Facial Nerve / Q000033:anatomy & histology; D020220:Facial Nerve Injuries; D006801:Humans; D007002:Hypoglossal Nerve / Q000033:anatomy & histology; D061228:Hypoglossal Nerve Injuries; D061224:Laryngeal Nerve Injuries; D007823:Laryngeal Nerves / Q000033:anatomy & histology; D008297:Male; D008875:Middle Aged