Neck dissection with simultaneous carotid endarterectomy

Abstract

Severe carotid stenosis that requires revascularization may have endarterectomy performed simultaneously with treatment of head and neck primary with no increase in morbidity.

Incidence of Perioperative Stroke After Neck Dissection for Head and Neck Cancer

“…They reported the risk of stroke during neck dissection to be 3.2% and 4.8%. 7,9 The implications of these results are significant because they suggest a potential need for preoperative screening and/or intervention for carotid artery pathology. 10 -15 We therefore initiated this study to verify the above results by determining the incidence of perioperative stroke after neck dissection for head and neck cancer in a large Canadian city.…”

“…7 During carotid endarterectomy, the risk has been reported to be between 0.9% and 3.6%. 7,8 After a critical review of the literature, only 2 studies were found that addressed the incidence of perioperative stroke during head and neck surgery. They reported the risk of stroke during neck dissection to be 3.2% and 4.8%.…”

Perioperative stroke in a patient undergoing surgery for oral cancer: A case report

“…In addition, the carotid artery is frequently retracted, which may dislodge a thrombus or plaque (10). The incidence of perioperative stroke during the performance of non-neck and head surgery is 0.08-0.2% (11). There are a limited number of reports regarding the incidence of perioperative stroke in patients who undergo neck dissection.…”

Épidémiologie des accidents vasculaires cérébraux périopératoires

“…Deux cas particuliers mé ritent d'être cité s, la chirurgie ORL et la chirurgie obsté tricale : en chirurgie ORL, deux travaux mis en exergue comme exemple d'une particularité lié e à la chirurgie oncologique ORL, trouvent une fré quence trè s é levé e de 3,2 et 4,8 % [138,139], ce qui n'est pas confirmé par une sé rie plus ré cente : 0,2 % (intervalle de confiance 0,01-1,12) [140]. Ces travaux sont critiquables [141].…”