Injury of the peripheral cranial nerves during carotid endarterectomy.
The incidence of local nerve injury among 192 consecutive carotid endarterectomies in 162 patients between 1977-1983 was determined from review of the medical records. Two facial nerve, 5 hypoglossal nerve, and 2 vagus nerve injuries were discovered for a total incidence of 4.7%. Only the 2 facial nerve injuries failed to improve over 2 years. Followup ranged from 1 to 60 months in this group of patients. Careful attention to details of tissue dissection at surgery should lower the incidence of nerve injury during carotid endarterectomy.
D002339:Carotid Arteries / Q000601:surgery*; D002547:Cerebral Palsy / Q000209:etiology*; D020209:Cranial Nerve Injuries; D004691:Endarterectomy; D020220:Facial Nerve Injuries; D006801:Humans; D061228:Hypoglossal Nerve Injuries; D061223:Vagus Nerve Injuries