title: Claudication on mastication following bilateral external carotid ligation.
abstract: Ligation of both external carotid arteries to control epistaxis can produce a decrease in the blood supply of the muscles of mastication sufficient to cause pain typical of claudication while chewing. We report 3 cases of this complication. We advocate that this procedure be used only in special circumstances.
authors.affiliation: Department of Otolaryngology, University of Minnesota, Minneapolis.
authors.forename: S L
authors.initials: SL
authors.lastname: Liston
authors.forename: L G
authors.initials: LG
authors.lastname: Siegel
mesh_terms: D000328:Adult; D000368:Aged; D002342:Carotid Artery, External / Q000601:surgery*; D004844:Epistaxis / Q000601:surgery; D006801:Humans; D008026:Ligation; D008297:Male; D008409:Mastication / Q000502:physiology*; D008410:Masticatory Muscles / Q000098:blood supply*; D010146:Pain / Q000209:etiology*; D011183:Postoperative Complications