Management of double carotid blowout with definitive repair after temporizing stent graft placement
oleh: Alexandra T. Cocca, MD, Brittany E. Levy, MD, Jennifer T. Castle, MD, Wesley S. Wilt, MD, Mark D. Fleming, MD, Alexandra E. Kejner, MD, Rony K. Aouad, MD, Samuel C. Tyagi, MD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2022-12-01 |
Deskripsi
Carotid blowout syndrome is a life-threatening complication for patients with head and neck cancer. Temporizing stent graft procedures improve short-term survival and can be the definitive treatment for various reasons, including a poor oncologic prognosis, unsuitability for definitive reconstruction, or a lack of operative options. A second carotid blowout will often be fatal. Preventing such events requires multidisciplinary strategic planning because of a hostile reoperative field. We have described a case of a 44-year-old man with a history of laryngeal cancer who had experienced a carotid blowout. Treated with a stent graft, the patient had experienced a second event 6 weeks later. Treatment involved excision and suture ligation with rotational muscle flap coverage.