Vollmar J
Arch Otorhinolaryngol. 1978 Apr 20;219(1):197-208. doi: 10.1007/BF00456578.
The progress in vascular surgery offers to the otolaryngologist a remarkable increase of his surgical activities. This is especially true in the field of tumor surgery in the region of the carotid arteries and the jugular vein (e.g. removement of carotid body-tumor, lymphnode deposits by neckdissection etc.). Both the ligature of the internal as the common carotid arteries should be--when ever possible--avoided. The method of choice is an arterial reconstruction (by direct vascular suture or an autogenous venous graft respectively a Dacronprosthesis). In the presence of wound infection or damaged soft tissue by radiation any vascular repair is contraindicated except of an extra-anatomic bypass-procedure. Every otolaryngologist engaged with great neck surgery should be familiar with the basic principles of vascular surgery and should keep a set of vascular instruments available. Some neck interventions, dealing with the great vessels, are best performed in teamwork of laryngologist and vascular surgeon.
血管外科的进展使耳鼻喉科医生的手术活动显著增加。这在颈动脉和颈静脉区域的肿瘤手术领域尤其如此（例如切除颈动脉体瘤、通过颈部解剖清除淋巴结沉积物等）。应尽可能避免结扎颈内动脉和颈总动脉。首选方法是动脉重建（分别通过直接血管缝合或自体静脉移植或涤纶假体）。如果存在伤口感染或软组织受辐射损伤，除解剖外旁路手术外，任何血管修复均为禁忌。每位从事颈部大手术的耳鼻喉科医生都应熟悉血管外科的基本原则，并应备有一套血管器械。一些涉及大血管的颈部干预最好由喉科医生和血管外科医生团队协作进行。
