scholarly journals Reduction of intra-operative blood loss by temporary control of external carotid artery in advanced head and neck malignancies

2011 ◽  
Vol 8 (1) ◽  
pp. 165-175
Author(s):  
Hosam Abd El-Kader El-Fol ◽  
Mamdouh S Ahmed
1974 ◽  
Vol 41 (3) ◽  
pp. 396-398 ◽  
Author(s):  
Ruben E. M. Hekster ◽  
Bartolomeo Matricali ◽  
Willem Luyendijk

✓The authors report the technical details of a case in which, to reduce operative hemorrhage, branches of the external carotid artery feeding a large convexity meningioma were preoperatively embolized with Gelfoam plugs. The total blood loss during the successful resection of the tumor was 500 ml.


2021 ◽  
Vol 8 (22) ◽  
pp. 1780-1785
Author(s):  
Manju Sudhakaran ◽  
Mini Alikunju ◽  
Vandana Latha Raveendran ◽  
Umesan Kannanvilakom Govindapillai

BACKGROUND External carotid arteries account for a major share of arterial supply of head and neck regions. As variations are frequently observed in the branching pattern of external carotid artery, surgeons, radiologists and anaesthetists often encounter difficulties in various procedures of head and neck. The purpose of this study is to describe the variations in the branching pattern of external carotid artery as observed in South Indian population which definitely reduces its iatrogenic injuries associated with surgical and radiological procedures of head and neck. METHODS This is cross-sectional descriptive study. Bilateral neck dissection was done on twenty-two formalin fixed cadavers to study the branching pattern of external carotid artery during a period of two years in the Department of Anatomy in Government Medical College, Alappuzha. Common carotid, external carotid and internal carotid arteries were dissected. All the branches of external carotid artery were traced and the variations were noted. The distance between carotid bifurcation and point of origin of individual branches of external carotid were measured and statistically analyzed. RESULTS In the present study along with normal branching pattern of external carotid artery, variations like origin of superior thyroid artery from common carotid artery and also from carotid bifurcation were seen. A common linguofacial trunk and direct origin of superior laryngeal artery from external carotid artery were also observed. CONCLUSIONS Prior knowledge of the variations will be helpful to surgeons and anaesthetists while dealing with these vessels during procedures of head and neck regions. KEYWORDS External Carotid Artery, Carotid Bifurcation, Superior Thyroid Artery, Linguofacial Trunk


2018 ◽  
Vol 17 (4) ◽  
pp. 290-295 ◽  
Author(s):  
Ranjith Sreedharan ◽  
Lalu Krishna ◽  
Ashwija Shetty

Abstract Background The major arterial supply to the thyroid gland is from the superior and inferior thyroid arteries, arising from the external carotid artery and the thyrocervical trunk respectively. The external laryngeal nerve runs in close proximity to the origin of the superior thyroid artery in relation to the thyroid gland. The superior thyroid artery is clinically important in head and neck surgeries. Objectives To locate the origin of the superior thyroid artery, because wide variability is reported. To provide knowledge of possible variations in its origin, because it is important for surgical procedures in the neck. Methods The origin of the superior thyroid artery was studied by dissecting sixty adult human hemineck specimens from donated cadavers in a Department of Anatomy. Results The highest incidence observed was origin of the superior thyroid artery from the external carotid artery (88.33%), whereas origin from the common carotid bifurcation only occurred in 8.33%. However, in 3.33% of cases, the superior thyroid artery originated from the common carotid artery and in a single case, the external laryngeal nerve did not cross the stem of the superior thyroid artery at all, but ran ventral and parallel to the artery. Conclusions It is important to rule out anomalous origin of superior thyroid artery and verify its relationship to the external laryngeal nerve prior to ligation of the artery in thyroid surgeries, in order to prevent iatrogenic injuries. Moreover, because anomalous origins of the superior thyroid artery are only anatomic variants, thorough knowledge of these is decisive for head and neck surgeries.


1995 ◽  
Vol 109 (6) ◽  
pp. 562-564 ◽  
Author(s):  
V. Nandapalan ◽  
D. G. O'Sullivan ◽  
M. Siodlak ◽  
P. Charters

AbstractFistulae between major vessels in the head and neck are uncommon. In both civilian and wartime reports, the total number of traumatic arterio–venous fistulae in head and neck region account for less than four per cent of all arterial injuries. Fourteen cases of congenital communication between the external carotid artery and external or internal jugular vein have been reported. We report and discuss the management of a case of ruptured carotico–jugular fistula secondary to infection which presented as acute upper airway obstruction. This appears to be the first description of such a case in the literature.


2010 ◽  
Vol 25 (1) ◽  
pp. 127-129 ◽  
Author(s):  
Kanchan K. Mukherjee ◽  
Pravin Salunke ◽  
Rajesh Chhabra ◽  
Sachin Adhikari ◽  
Neerja Bharti

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