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https://doi.org/10.21860/medflum2018_192876
Carotid artery resection and reconstruction for recurrent laryngeal carcinoma with carotid artery involvement: case report
Thevagi Maruthamuthu
; Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Nadarajah Sanjeevan
; Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Mohd Ezane Aziz
; Department of Radiology, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Arman Zaharil Mat Saad
; Department of Reconstructive and Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Baharudin Abdullah
; Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
Abstract
Aim: Management of advanced head and neck cancer is challenging and possesses considerable risk. Carotid artery involvement is considered inoperable. We would like to highlight the benefit of carotid artery resection and reconstruction in achieving excellent local control of the disease with improved quality of survival.
Case report: A 60-year-old gentleman with history of total laryngectomy with selective neck dissection and adjuvant chemo-radiation for laryngeal carcinoma developed a right sided neck recurrence after being disease free. The recurrent tumour mass encased the right carotid artery circumferentially. He underwent right radical neck dissection, right carotid artery resection and reconstruction successfully.
Conclusions: Recent advances in surgical management has enabled surgeons to perform carotid artery resection and bypass with measurable success and reduced complications.
Keywords
Carotid artery disease; Laryngeal cancer; Vascular surgical procedure
Hrčak ID:
192876
URI
Publication date:
1.3.2018.
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