title: Endoscopic Repair of the Injured Internal Carotid Artery Utilizing Oxidized Regenerated Cellulose and a Free Fascia Lata Graft.
abstract: OBJECTIVE
  To introduce appropriate surgical procedures for the endoscopic repair of the internal carotid artery (ICA) injury.
  
  
  METHODS
  Two patients with ICA injury during the endoscopic endonasal approach surgery were reviewed.
  
  
  RESULTS
  Internal carotid artery injury during the endonasal skull-base approach was a rare complication. Once ICA injury occurred, 2 large bore suctions were placed immediately for drainage and the bleeding point was located. Then, an oxidized regenerated cellulose was quickly pressed onto the bleeding point and was held there to stop the bleeding. Afterward, a free graft of fascia lata was inserted and the free fat graft was compressed for repair. Absorbable packing materials were used for nasal packing.
  
  
  CONCLUSIONS
  Endoscopic repair utilizing oxidized regenerated cellulose and a free fascia lata graft is a safe and feasible surgical option for ICA injury.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, 200031 Shanghai, China.
authors.forename: Huan-Kang
authors.initials: HK
authors.lastname: Zhang
authors.forename: Na
authors.initials: N
authors.lastname: Ma
authors.forename: Xi-Cai
authors.initials: XC
authors.lastname: Sun
authors.forename: De-Hui
authors.initials: DH
authors.lastname: Wang
mesh_terms: D000328:Adult; D000792:Angiography; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000294:innervation*; D002483:Cellulose, Oxidized / Q000494:pharmacology*; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D058752:Free Tissue Flaps; D006490:Hemostatics / Q000494:pharmacology; D006801:Humans; D008297:Male; D008875:Middle Aged; D057605:Natural Orifice Endoscopic Surgery / Q000379:methods*; D009666:Nose; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D002483:Cellulose, Oxidized; D006490:Hemostatics