Cotton L T, Horrocks M
Clin Otolaryngol Allied Sci. 1978 Feb;3(1):37-42. doi: 10.1111/j.1365-2273.1978.tb00663.x.
Carotid artery involvement in neck tumours causes great concern to surgeons because of the unpredictable effects of carotid artery clamping or excision. Various methods of pre- and peroperative assessment of crossover cerebral circulation are reviewed. The management of 3 cases with extensive tumour involving the carotid artery is described. This comprises a combined operation involving a head and neck surgeon and vascular surgeon using a temporary carotid shunt followed by permanent autogenous vein graft to the internal carotid artery. It is suggested that thorough preoperative investigation combined with a more radical surgical approach can give a more satisfactory outcome in cases of head and neck tumours involving the carotid artery.
颈部肿瘤累及颈动脉令外科医生深感担忧，因为颈动脉钳夹或切除会产生难以预测的影响。本文综述了多种评估交叉脑循环的术前和术中方法。描述了3例颈动脉广泛受累肿瘤的治疗情况。这包括由头颈外科医生和血管外科医生联合进行的手术，术中使用临时颈动脉分流管，随后将自体静脉永久性移植至颈内动脉。建议对于累及颈动脉的头颈肿瘤患者，术前进行全面检查并采用更积极的手术方法可取得更满意的治疗效果。
