Broomfield S J, Bruce I A, Luff D A, Birzgalis A R, Ashleigh R J
Department of Otolaryngology Head and Neck Surgery, Wythenshawe Hospital, South Manchester University Hospitals NHS Trust, Manchester, UK.
J Laryngol Otol. 2006 Aug;120(8):694-7. doi: 10.1017/S0022215106001332. Epub 2006 May 15.
Bleeding from the carotid artery or its branches ('carotid blowout') is a well recognized complication following treatment or recurrence of head and neck cancer. The traditional surgical treatment for carotid blowout is often technically difficult and is associated with an unacceptably high morbidity and mortality. The majority of such patients are currently treated conservatively with end of life supportive measures. We report the case of a young patient with recurrent supraglottic carcinoma complicated by carotid blowout on two separate occasions over a five month period, which was successfully treated endovascularly under local anaesthetic, without neurological sequelae. With the continuing development of interventional radiology, endovascular techniques are now emerging as a viable, low morbidity treatment option in selected patients.
颈动脉及其分支出血（“颈动脉破裂”）是头颈部癌症治疗或复发后一种公认的并发症。传统的颈动脉破裂手术治疗在技术上往往具有挑战性，且发病率和死亡率高得令人难以接受。目前，大多数此类患者采用临终支持措施进行保守治疗。我们报告了一例年轻患者，患有复发性声门上癌，在五个月内两次并发颈动脉破裂，在局部麻醉下通过血管内治疗成功治愈，且无神经后遗症。随着介入放射学的不断发展，血管内技术正逐渐成为部分患者可行的、低发病率的治疗选择。
