Dept Of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Karnataka 576104, India.
Dept Of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Karnataka 576104, India.
Oral Oncol. 2021 Oct;121:105392. doi: 10.1016/j.oraloncology.2021.105392. Epub 2021 Jun 21.
Most aberrations in the cervical course of the internal carotid artery are generally encountered as incidental findings due to their asymptomatic nature. However these morphological variations if not identified intra operatively or pre operatively may lead to vascular accidents. It is essential to be aware of the existence of tortuosity, kinking, and coiling of these great vessels while considering patients for surgeries of head and neck cancer, pharyngeal resections, traumatic injury repair, etc. Our paper presents a case series of four patients in whom carotid dolichoarteriopathies were observed during the course of neck dissection. It aims to highlight the precautions required to avoid morbidity in such patients.
大多数颈内动脉的异常情况通常由于其无症状性质而作为偶发发现。然而，如果在手术中或手术前没有识别这些形态变化，可能会导致血管意外。在考虑头颈部癌症、咽部切除术、创伤性损伤修复等手术的患者时，了解这些大血管的迂曲、扭曲和缠绕的存在是至关重要的。我们的论文介绍了 4 例在颈部解剖过程中观察到颈动脉长段动脉病的患者病例系列。其目的是强调在这些患者中避免发病所需的注意事项。
