Head and neck @entity957 may involve the carotid artery. Surgical treatment of these @entity5 is a difficult challenge, because of related morbidity and mortality. The aim of this study of international literature was to define the best preoperative and intraoperative strategy which permits carotid resection with acceptable neurologic risk. Pre-operative evaluation of cerebral tolerance to @entity432 is performed. If the @entity1 has successfully completed the 30-minute temporary occlusion of the internal carotid artery, a permanent @entity432 is performed. Surgical treatment includes carotid resection with or without revascularization using an autogenous graft. Elective carotid resection without reconstruction results in cerebral complications in 0 to 25% of @entity1 , and death in 0 to 30% of @entity1 . If a reconstruction using a graft is performed, cerebral complications occur in 0 to 22% of @entity1 , and death in 0 to 33% of @entity1 . @entity397 occurs in 0 to 33% of @entity1 . However, many authors reported no @entity16 and no deaths after performing successful preoperative permanent @entity432 of the internal carotid associated with carotid resection. Carotid resection can be performed with an acceptable cerebral risk in selected @entity1 . Preoperative @entity432 seems to result in decreased postoperative mortality and morbidity rates. Prospective studies should be done to clarify the benefit of this procedure.

[Is carotid resection a valuable option in advanced head and neck XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity957 :: ('MESH:D002294', 'Disease') :: ['squamous cell carcinomas'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic complications'] @entity397 :: ('MESH:D012421', 'Disease') :: ['Anastomotic rupture'] @entity432 :: ('MESH:D001157', 'Disease') :: ['balloon occlusion', 'carotid occlusion']
@entity957 :: (MESH:D002294,Disease) :: ['squamous cell carcinomas']
