Bilateral external carotid artery ligation: A life saving procedure in severe maxillofacial trauma

Nasr, Mohamed Mahmood

doi:10.1016/j.ijscr.2015.01.021

Cited by 15 publications

(6 citation statements)

References 5 publications

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“…If necessary, the external carotid artery and its branches can be ligated; however, internal carotid injuries should by and large be repaired. 28,29 Endovascular approaches are an alternative.…”

Section: Management Of Vascular Injurymentioning

confidence: 99%

The management of penetrating neck injury

Weale¹,

Madsen

Kong

et al. 2018

Trauma

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Penetrating neck injuries are serious as there is a high concentration of vital structures in close proximity to each other in a compressed anatomical area. Penetrating neck injuries can be immediately life threatening due to massive bleeding from vascular structures or due to airway compromise. Injury to the digestive tract in the neck may also result in delayed and potentially life-threatening conditions. The majority (79%) of penetrating neck injuries can be managed conservatively. The clinician caring for such a patient requires a structured and comprehensive approach to managing these injuries. This article will provide a general overview of penetrating neck injuries, including resuscitation, epidemiology, surgical management and the use of appropriate imaging.

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Section: Management Of Vascular Injurymentioning

confidence: 99%

The management of penetrating neck injury

Weale¹,

Madsen

Kong

et al. 2018

Trauma

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“…[ 8 ] However, it is a secure procedure that can be performed bilaterally and in oncologic emergencies. [ 9 10 ]…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of a parotid gland hemangioma in teenager managed with external carotid artery ligation

Saldivar-Galindo

Navarro-Barquin

Santamaría-Orozco

et al. 2017

Ann Maxillofac Surg

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Parotid gland hemangiomas represent <0.6% of the total tumors of the gland and there are <50 tumors reported during adult age, so there is no standard treatment. A 18-year-old female presents with a mass in the right parotid gland of 18 months of a slow progressive asymptomatic growth; on physical examination, only the mass was detected. An angiography was performed, and it reported a possible hemangioma that depends on the right internal maxillary artery and right facial artery and was not suitable for embolization. Total parotidectomy was performed with prior ligation of the right external carotid artery, complete resection was achieved and preservation of the facial nerve and all branches with minimal loss of blood (150 cc). External carotid artery ligation is a safe technique that can be considered in carefully selected patients with vascular tumors that affect the head and neck to achieve a clean and safe surgery with minimal sequels.

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“…External carotid ligation via a cervical approach may then be considered, but its effect is variable because of collateral circulation from the contralateral side and arterial communication with the internal carotid system. Bilateral ligation of external carotid may be then performed, with its own local and hemodynamic morbidity [10]. Selective embolisation of external carotid artery and its branches can offer a safe and fast alternative to control hemorrhage from pseudoaneurysm rupture, and should always be considered by maxillofacial surgeons [11,12].…”

Section: Discussionmentioning

confidence: 99%