title: Baroreflex dysfunction after nasopharyngectomy and bilateral carotid isolation.
abstract: Baroreflex dysfunction (BRD) is an uncommon but perplexing clinical entity that occurs after an operation performed in the head and neck. Cases of BRD have occasionally been reported after bilateral carotid endarterectomies and in rare brain-stem tumors. We describe, for the first time to our knowledge, BRD in a patient after nasopharyngectomy and bilateral carotid isolation for recurrent nasopharyngeal carcinoma.
authors.affiliation: Department of Surgery, Stanford University Medical Center, Calif., USA.
authors.forename: H T
authors.initials: HT
authors.lastname: Lee
authors.forename: J
authors.initials: J
authors.lastname: Brown
authors.forename: W E
authors.initials: WE
authors.lastname: Fee
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D017704:Baroreflex; D001794:Blood Pressure / Q000187:drug effects; D002294:Carcinoma, Squamous Cell / Q000503:physiopathology* / Q000601:surgery*; D002343:Carotid Artery, Internal; D003000:Clonidine / Q000494:pharmacology; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008297:Male; D008790:Metoprolol / Q000627:therapeutic use; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000503:physiopathology* / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000503:physiopathology*; D010036:Otolaryngology / Q000379:methods; D010611:Pharyngectomy; D011183:Postoperative Complications / Q000503:physiopathology*; D013565:Sympatholytics / Q000494:pharmacology
chemical_list: D000889:Anti-Arrhythmia Agents; D000959:Antihypertensive Agents; D013565:Sympatholytics; D008790:Metoprolol; D003000:Clonidine