Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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The Preoperative Evaluation of the Carotid Artery in Head and Neck Surgery

두경부수술에서 경동맥 희생과 사전검사

  • Kwon Tack-Kyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Sung Myung-Whun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Kim Kwang-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Kim Jeong-Jun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Lee Chul-Hee (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Min Yang-Gi (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University)
  • 권택균 (서울대학교 의과대학 이비인후과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후과학교실) ;
  • 김광현 (서울대학교 의과대학 이비인후과학교실) ;
  • 김정준 (서울대학교 의과대학 이비인후과학교실) ;
  • 이철희 (서울대학교 의과대학 이비인후과학교실) ;
  • 민양기 (서울대학교 의과대학 이비인후과학교실)
  • Published : 1998.11.01
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Abstract

Objectives: The authors tried to analyze the results of carotid artery sacrifice with or without preoperative carotid evaluation. Materials and Methods: Thirteen patients undergone carotid sacrifice were evaluated. Carotid balloon occlusion test (BOT) and single-photon emission computed tomography (SPECT) with technetium-99m-labeled hexamethylpropyleneamineoxime ($^{99m}Tc-HMPAO$) were used for preoperative carotid evaluation. Results: The causes of carotid artery sacrifice consisted of the neck mass involving the carotid artery, spontaneous aneurysmal rupture, and traumatic pseudoaneurysm. Five patient had postoperative neurologic complications and two of them had permanent neurologic deficits. Conclusion: The authors stress that the preoperative evaluation in carotid artery sacrifice is imperable, and the BOT with SPECT can be used in selecting the method of treatment. But since these tests cannot predict the postoperative outcome perfectly, careful perioperative care of the patients should be exercised regardless of the results of the preoperative evaluation.

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