Resection of the internal carotid artery in selected patients affected by cancer of the skull base.
cancer
head and neck
internal carotid artery
skull base
vascular surgical procedure
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
revised:
09
10
2021
received:
22
05
2021
accepted:
10
12
2021
pubmed:
24
12
2021
medline:
1
4
2022
entrez:
23
12
2021
Statut:
ppublish
Résumé
Invasion of the internal carotid artery (ICA) has been historically considered a criterion of non-resectability of skull base cancer (SBC). Patients affected by SBC who underwent surgery including resection of ICA at two tertiary institutions were included. Demographics, oncologic, and surgical information, complications, and survival outcomes were retrospectively reviewed. Survival outcomes were calculated. Ten patients were included. Three surgical approaches (transnasal endoscopic, transorbital, and transpetrosal) were employed to resect the invaded/abutted tract(s) of the ICA. All patients underwent ICA temporary balloon occlusion test. In two patients, an extracranial-to-intracranial arterial bypass was harvested. Major neuromorbidity was observed in two patients. Perioperative mortality of the series was 10.0%. Mean overall survival was 27.2 months, with 2-year overall and progression-free survival rate of 88.9%. ICA resection is feasible as part of the ablation performed for very advanced SBCs. Survival outcomes are acceptable in adequately selected patients.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1030-1042Informations de copyright
© 2021 Wiley Periodicals LLC.
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