Abstract
Carotid artery involvement by head and neck cancer is mostly considered as unresectable disease. Mostly, these cases are treated with definitive chemoradiotherapy. But when there is recurrent disease, choices are limited. Recent advances in vascular reconstruction and intervention radiology lead the way of addressing these cases with reconstruction or endovascular stenting. We tried to address this challenge in the present case. Endovascular stent provided the protection needed while dissecting over internal carotid artery. Such uncommonly performed techniques should be highlighted for further research.
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Snyderman CH, D’Amico F (1992) Outcome of carotid artery resection for neoplastic disease: a meta-analysis. Am J Otolaryngol 13(6):373–380
Nayak UK, Donald PJ, Stevens D (1995) Internal carotid artery resection for invasion of malignant tumors. Arch Otolaryngol Head Neck Surg 121(9):1029–1033
Meleca RJ, Marks SC (1994) Carotid artery resection for cancer of the head and neck. Arch Otolaryngol Head Neck Surg 120(9):974–978
Bäck LJJ, Aro K, Tapiovaara L, Vikatmaa P, de Bree R, Fernández-Álvarez V et al (2018) Sacrifice and extracranial reconstruction of the common or internal carotid artery in advanced head and neck carcinoma: review and meta-analysis. Head Neck 40(6):1305–1320
Mourad M, Saman M, Stroman D, Lee T, Ducic Y (2015) Carotid artery sacrifice and reconstruction in the setting of advanced head and neck cancer. Otolaryngol Head Neck Surg 153(2):225–230
Vikatmaa P, Mäkitie AA, Railo M, T€ornwall J, Albäck A, Lepäntalo M (2009) Midline mandibulotomy and interposition grafting for lesions involving the internal carotid artery below the skull base. J Vasc Surg 49(1):86–92
Markiewicz MR, Pirgousis P, Bryant C, Cunningham JC, Dagan R, Sandhu SJ, Siragusa DA et al (2017) Preoperative protective endovascular covered stent placement followed by surgery for management of the cervical common and internal carotid arteries with tumor encasement. J Neurol Surg B Skull Base 78(1):52–58
Nussbaum ES, Levine SC, Hamlar D, Madison MT (2000) Carotid stenting and “extarterectomy” in the management of head and neck cancer involving the internal carotid artery: technical case report. Neurosurgery 47(4):981–984
Kennedy JT, Krause CJ, Loevy S (1977) The importance of tumor attachment to the carotid artery. Arch Otolaryngol 103:70–73
Wright JG, Nicholson R, Schuller DE, Smead WL (1996) Resection of the internal carotid artery and replacement with greater saphenous vein: a safe procedure for en bloc cancer resections with carotid involvement. J Vasc Surg 23:775–780
Alexander M, Spetzler RF (1999) Bonnet bypass modification for resection of tumors involving the neck and skull base. Presented at the 67th Annual Meeting of the American Association of Neurological Surgeons, New Orleans, Louisiana, April 24–29
Clara Delaruelle, Alexis Ambrun, Clementine Daveau, Marc Poupart, Philippe Zrounba, Eve-Marie Neidhardt et al (2014) Modified DCF (mDCF, docetaxel cisplatin 5FU) for patients with locally advanced squamous cell carcinoma of the head and neck (LASCCHN) unfit to DCF: a retrospective study. J Clin Oncol 32(15_suppl):e17018-e17018
Fayette J, Fontaine-Delaruelle C, Ambrun A, Daveau C, Poupart M, Ramade A, Zrounba P et al (2016) Neoadjuvant modified TPF (docetaxel, cisplatin, fluorouracil) for patients unfit to standard TPF in locally advanced head and neck squamous cell carcinoma: a study of 48 patients. Oncotarget 7(24):37297–37304
Shenoy VPPK, Manuprasad A, Babu S, Aravind S, Narayanan VN, Nayanar S, Balasubramanian S (2022) Oral metronomic chemotherapy as a feasible preoperative therapy in advanced resectable oral cavity squamous cell carcinomas- a preliminary experience. Ecancermedicalscience 7(16):1425
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Yadav, K. Radical Neck Dissection Following Internal Carotid Artery Endovascular Stenting: Case Report and Review of Literature. Indian J Surg Oncol 15, 397–404 (2024). https://doi.org/10.1007/s13193-024-01912-2
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DOI: https://doi.org/10.1007/s13193-024-01912-2