Outcome of carotid artery resection for neoplastic disease: a meta-analysis.

Abstract:

PURPOSE:To determine the neurologic morbidity and oncologic effectiveness of carotid resection in patients with advanced squamous cell carcinoma of the head and neck. METHODS:A retrospective review of all published cases of squamous cell carcinoma of the head and neck treated by carotid resection was performed. RESULTS:A major neurologic complication occurred in 17% of patients. Neurologic morbidity was not associated with the method of carotid artery reconstruction. Two-year disease-free survival was 22%. The majority of recurrences were local or regional. Comparison of survival of this group to a similarly staged control group demonstrated no significant difference in survival. CONCLUSION:This review of the literature suggests that elective carotid resection achieves significant local/regional control of disease and that carotid artery involvement is not a poor prognostic factor in patients with advanced head and neck cancer.

journal_name

Am J Otolaryngol

authors

Snyderman CH,D'Amico F

doi

10.1016/0196-0709(92)90079-9

subject

Has Abstract

pub_date

1992-11-01 00:00:00

pages

373-80

issue

6

eissn

0196-0709

issn

1532-818X

pii

0196-0709(92)90079-9

journal_volume

13

pub_type

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