peri-and postoperative stroke). Except one, all neurological complications were associated with cranial nerves infiltration and resection. Cluster headache occurred in one patient after 20 years of remission. Conclusion-En-bloc resection compared to tumor peeling provides higher locoregional disease control and improves quality of life. PTFE interposition compared to carotids ligation decreases significantly the risk of peri-and postoperative stroke and death. All of the occurred postoperative neurological complication are peripheral-after tumor involvement of the cranial nerves followed by removal. Resection with reconstruction of the carotid arteries provides radical tumor removal with stroke-rate decrement and hides no additional risks. References $Maves MD, Bruns MD, Keenan MJ. Carotid artery resection for head and neck cancer. Ann Otol Rhinol Laryngol. 1992;101(9):9e778. [PubMed] $Huvos AG, Leaming RH, Moore OS. Clinicopathologic study of the resected carotid artery. Analysis of sixtyfour cases.