Abstract
The best management of advanced head and neck tumors invading the carotid artery utilizes a collaborative, anticipatory approach. Preoperative characterization of the anatomy and extent of tumor involvement, coupled with the physiologic assessment of the cerebrovascular circulation through the variety of adjunctive studies, facilitates operative planning. Careful preoperative evaluation allows the surgeon to make the most informed decision regarding extracranial carotid artery reconstruction, should carotid artery resection be required for adequate tumor removal. When the preoperative evaluation indicates that adequate cerebral perfusion or collateral reserve will not be maintained with carotid artery occlusion, carotid artery reconstruction needs to accompany any resection of this vessel. Autogenous saphenous vein remains the graft conduit of choice, but prosthetic materials may be used. Graft patency and healing require appropriate concomitant soft- tissue coverage of any overlying mucosal or cutaneous defects.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 91-123 |
| Number of pages | 33 |
| Journal | Otolaryngologic Clinics of North America |
| Volume | 27 |
| Issue number | 1 |
| State | Published - 1994 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Vascular grafts in head and neck reconstructive surgery. / Fujitani, R. M.; Cull, D. L.; Dawson, David L.
In: Otolaryngologic Clinics of North America, Vol. 27, No. 1, 1994, p. 91-123.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Vascular grafts in head and neck reconstructive surgery
AU - Fujitani, R. M.
AU - Cull, D. L.
AU - Dawson, David L
PY - 1994
Y1 - 1994
N2 - The best management of advanced head and neck tumors invading the carotid artery utilizes a collaborative, anticipatory approach. Preoperative characterization of the anatomy and extent of tumor involvement, coupled with the physiologic assessment of the cerebrovascular circulation through the variety of adjunctive studies, facilitates operative planning. Careful preoperative evaluation allows the surgeon to make the most informed decision regarding extracranial carotid artery reconstruction, should carotid artery resection be required for adequate tumor removal. When the preoperative evaluation indicates that adequate cerebral perfusion or collateral reserve will not be maintained with carotid artery occlusion, carotid artery reconstruction needs to accompany any resection of this vessel. Autogenous saphenous vein remains the graft conduit of choice, but prosthetic materials may be used. Graft patency and healing require appropriate concomitant soft- tissue coverage of any overlying mucosal or cutaneous defects.
AB - The best management of advanced head and neck tumors invading the carotid artery utilizes a collaborative, anticipatory approach. Preoperative characterization of the anatomy and extent of tumor involvement, coupled with the physiologic assessment of the cerebrovascular circulation through the variety of adjunctive studies, facilitates operative planning. Careful preoperative evaluation allows the surgeon to make the most informed decision regarding extracranial carotid artery reconstruction, should carotid artery resection be required for adequate tumor removal. When the preoperative evaluation indicates that adequate cerebral perfusion or collateral reserve will not be maintained with carotid artery occlusion, carotid artery reconstruction needs to accompany any resection of this vessel. Autogenous saphenous vein remains the graft conduit of choice, but prosthetic materials may be used. Graft patency and healing require appropriate concomitant soft- tissue coverage of any overlying mucosal or cutaneous defects.
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UR - http://www.scopus.com/inward/citedby.url?scp=0028194860&partnerID=8YFLogxK
M3 - Article
VL - 27
SP - 91
EP - 123
JO - Otolaryngologic Clinics of North America
JF - Otolaryngologic Clinics of North America
SN - 0030-6665
IS - 1
ER -