[A carotid resection in cervical tumors without a vascular reconstruction].
From 1979 to 1988, 15 cases, consisting of 12 carotid body paragangliomas, 1 vagal body paraganglioma, 1 aneurysm of the internal carotid artery, and 1 recurrent metastatic carcinoma of the neck, were given a simple carotid resection without a vascular reconstruction, since the lesions were fixed to the carotid artery. The collateral cerebral cross-flow was promoted preoperatively with the use of compressing exercises of the carotid artery and controlled by computerized rheoencephalography. There was no operative mortality, though a transient postoperative cerebral complication did occur in one female patient, from which she recovered in one month. Of this series of 15 patients, one died from a malignant lesion and 14 survived for 3 months to 9 years without cerebrovascular complications.
Lee
S L
SL
Dept. of the Head & Neck, Tianjin Cancer Hospital, People's Republic of China.
Liu
J Z
JZ
Lee
S L
SL
Ge
Z J
ZJ
Yan
X Q
XQ
D000293:Adolescent; D000328:Adult; D002339:Carotid Arteries / Q000601:surgery*; D002345:Carotid Body Tumor / Q000503:physiopathology / Q000601:surgery; D002560:Cerebrovascular Circulation; D005069:Evaluation Studies as Topic; D005260:Female; D006258:Head and Neck Neoplasms / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010992:Plethysmography, Impedance