1. [A carotid resection in cervical tumors without a vascular reconstruction].
- Author
-
Lee SL, Liu JZ, Lee SL, Ge ZJ, and Yan XQ
- Subjects
- Adolescent, Adult, Carotid Body Tumor physiopathology, Carotid Body Tumor surgery, Cerebrovascular Circulation, Evaluation Studies as Topic, Female, Head and Neck Neoplasms physiopathology, Humans, Male, Methods, Middle Aged, Plethysmography, Impedance, Carotid Arteries surgery, Head and Neck Neoplasms surgery
- Abstract
From 1979 to 1988, 15 cases, consisting of 12 carotid body paragangliomas, 1 vagal body paraganglioma, 1 aneurysm of the internal carotid artery, and 1 recurrent metastatic carcinoma of the neck, were given a simple carotid resection without a vascular reconstruction, since the lesions were fixed to the carotid artery. The collateral cerebral cross-flow was promoted preoperatively with the use of compressing exercises of the carotid artery and controlled by computerized rheoencephalography. There was no operative mortality, though a transient postoperative cerebral complication did occur in one female patient, from which she recovered in one month. Of this series of 15 patients, one died from a malignant lesion and 14 survived for 3 months to 9 years without cerebrovascular complications.
- Published
- 1989