title: Pre-reconstruction of cervical-to-petrous internal carotid artery: An improved technique for treatment of vascular lesions involving internal carotid artery at the lateral skull base.
abstract: Reconstruction of the internal carotid artery (ICA) is an operative challenge for lesions involving the lateral skull base because of excessive blood loss, intraoperative cranial nerve injury, and difficulties in cerebral protection.
  
  
  
  Between January 2010 and October 2014, 9 patients with vascular lesions at the lateral skull base were treated with a "pre-reconstruction" technique, which means reconstruction of the ICA in advance of excising the lesions.
  
  
  
  All operations were technically successful with no mortality or strokes. The mean blood loss was 921 ± 210 mL. The mean total clamping time was 18 ± 5 minutes. Among the 5 patients without invasion of specific cranial nerves, no long-term sequelae occurred during the follow-up period ranging from 11 to 54 months.
  
  
  
  With less blood loss, slighter cranial nerve injuries, and shorter clamping time, the "pre-reconstruction" technique was safe and effective for the treatment of vascular lesions at the lateral skull base. © 2016 Wiley Periodicals, Inc. Head Neck 38: E1562-E1567, 2016.
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Fang-Da
authors.initials: FD
authors.lastname: Li
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Zhi-Qiang
authors.initials: ZQ
authors.lastname: Gao
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Hua-Liang
authors.initials: HL
authors.lastname: Ren
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Chang-Wei
authors.initials: CW
authors.lastname: Liu
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Song
authors.affiliation: Department of Neurology, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Yan-Feng
authors.initials: YF
authors.lastname: Li
authors.affiliation: Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.
authors.forename: Yue-Hong
authors.initials: YH
authors.lastname: Zheng
mesh_terms: D000293:Adolescent; D000328:Adult; D016063:Blood Loss, Surgical; D002343:Carotid Artery, Internal / Q000473:pathology / Q000601:surgery*; D020209:Cranial Nerve Injuries / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D019651:Plastic Surgery Procedures / Q000379:methods*; D019291:Skull Base / Q000473:pathology / Q000601:surgery*; D055815:Young Adult
keywords: aneurysm; bypass; cervical tumor; internal carotid artery; lateral skull base