Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series Carotid Bypass Surgery for A Persistent Neck Tumor after Multiple Treatments: A Case Report
Dublin Core
Title
Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series Carotid Bypass Surgery for A Persistent Neck Tumor after Multiple Treatments: A Case Report
Case Report/Series Carotid Bypass Surgery for A Persistent Neck Tumor after Multiple Treatments: A Case Report
Subject
carotid artery, neck node metastasis, reconstructive surgical procedures,
squamous cell carcinoma, vascular surgical procedures
squamous cell carcinoma, vascular surgical procedures
Description
Involvement of the carotid artery in head and
neck cancer poses a challenge for both surgeons and
oncologists due to its high risk, particularly when it
manifests following multiple treatments. Attempting
surgical salvage in this population adds another layer
of complexity. An aggressive surgical approach to
attain oncological clearance is a challenge that head
and neck surgeons must face. Radical en bloc resection
is the aim of curative intention.
Controversies arise between the survival benefit
and postoperative morbidity and mortality. A previous
study indicated that in advanced squamous cell
carcinoma involving the carotid artery, surgically
treated patients with curative intent had improved
overall survival compared with the palliative group.
However, the survival outcome was not significantly
different between those treated with carotid artery
resection with or without reanastomosis, curative
peeling with or without adjuvant therapy, and
definitive chemoradiation therapy.1
Another study
reported that overall survival was better in patients
with carotid resection and reconstruction with low
perioperative neuromorbidity and mortality rates.2–4
Although the procedure is now well known, studies
about carotid artery resection and reconstruction as a
part of salvage treatment are still limited. Moreover,
this procedure requires careful consideration for
those who have undergone radiotherapy and multiple
neck cancer poses a challenge for both surgeons and
oncologists due to its high risk, particularly when it
manifests following multiple treatments. Attempting
surgical salvage in this population adds another layer
of complexity. An aggressive surgical approach to
attain oncological clearance is a challenge that head
and neck surgeons must face. Radical en bloc resection
is the aim of curative intention.
Controversies arise between the survival benefit
and postoperative morbidity and mortality. A previous
study indicated that in advanced squamous cell
carcinoma involving the carotid artery, surgically
treated patients with curative intent had improved
overall survival compared with the palliative group.
However, the survival outcome was not significantly
different between those treated with carotid artery
resection with or without reanastomosis, curative
peeling with or without adjuvant therapy, and
definitive chemoradiation therapy.1
Another study
reported that overall survival was better in patients
with carotid resection and reconstruction with low
perioperative neuromorbidity and mortality rates.2–4
Although the procedure is now well known, studies
about carotid artery resection and reconstruction as a
part of salvage treatment are still limited. Moreover,
this procedure requires careful consideration for
those who have undergone radiotherapy and multiple
Creator
Izry Naomi Lumbantobing, Mohd Razif Mohamad Yunus, Arman Zaharil Mat Saad
Source
https://doi.org/10.13181/mji.cr.226130
Date
September 05, 2022
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Izry Naomi Lumbantobing, Mohd Razif Mohamad Yunus, Arman Zaharil Mat Saad , “Medical Journal of Indonesia Vol. 31 No. 3 2022 FKUI
Case Report/Series Carotid Bypass Surgery for A Persistent Neck Tumor after Multiple Treatments: A Case Report,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1069.
Case Report/Series Carotid Bypass Surgery for A Persistent Neck Tumor after Multiple Treatments: A Case Report,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/1069.