Carotid Artery Resection and Reconstruction With Expanded Polytetrafluoroethylene for Head and Neck Cancer

• DOI: 10.1097/mlg.0b013e318182a50e
• Publication Date: 2008-11-19T08:10:55Z
• Authors: Beiping Miao; Yongtian Lu; Xinliang Pan; Dayu Liu
• Keywords: Polytetrafluoroethylene

There are controversies on management of carotid artery invasion in advanced head and neck cancer. En bloc resection has been considered a curative modality. In this study, we evaluated the feasibility using expanded polytetrafluoroethylene (ePTFE) reconstructing common patients with requiring resection.A retrospective study including 13 managed from 2002 to 2005. All underwent en tumor internal then reconstructed ePTFE.All had together reconstruction ePTFE. Some required wound coverage myocutaneous flaps eight local five patients. Intraoperative shunting was used all heparin infusion postoperative low dose aspirin were prevent thrombosis. One patient developed graft blowout he treated ligation without hemiplegia. minor stroke. The follow-up period 18.4 +/- 8.6 months. No suffered neurological deficit or occlusion. Disease survival 61.5% 1 year 38.5% 2 years. Overall 18.3 months.En ePTFE is shown be feasible modality treatment cancer invasion.