title: Case reports - common and external carotid artery resection in head and neck cancer patients.
abstract: Most head and neck cancer patients are first referred to an E.N.T. specialist thus the need for that surgeon to be the leader of the multidisciplinary team. Oncological surgical interventions need to ensure clear resection margins; this means that whatever anatomic structures are involved in the tumor spread, need to be resected. The carotid artery is a vascular vessel system that provides blood supply for the head and neck region, the most important structure being the brain and its organs. The ligation or the resection of the common carotid artery leads to an abrupt decrease of blood flow towards the brain, which can cause single sided paralysis, decreased cognitive functions, shock and even death. Common or internal carotid arteries ligatures or resections can be performed in patients with malignant tumors of the head and neck. This is a synopsis of 2 successful cases of patients who underwent common and external carotid artery resection.
authors.affiliation: E.N.T. Department, Coltea Clinical Hospital, Bucharest, Romania. dr.bpopescu@gmail.com
authors.forename: B
authors.initials: B
authors.lastname: Popescu
authors.forename: S V G
authors.initials: SV
authors.lastname: Berteșteanu
authors.forename: R
authors.initials: R
authors.lastname: Grigore
authors.forename: R
authors.initials: R
authors.lastname: Scăunașu
authors.forename: S
authors.initials: S
authors.lastname: Voiculescu
authors.forename: C R
authors.initials: CR
authors.lastname: Popescu
mesh_terms: D000368:Aged; D002342:Carotid Artery, External / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: chronic brain ischemia; malignancy; neck dissection; oncological margin
references.citation: Cochrane Database Syst Rev. 2012 Aug 15;(8):CD007566
references.pmid: 22895961
references.citation: Arch Otolaryngol Head Neck Surg. 1991 Jun;117(6):601-5
references.pmid: 2036180
references.citation: Neuroscience. 1997 Aug;79(4):1039-50
references.pmid: 9219966
references.citation: Ann Surg. 1887 Aug;6(2):111-4
references.pmid: 17856163
references.citation: Auton Neurosci. 2013 Jan;173(1-2):39-44
references.pmid: 23199530