Carotid bypass surgery for a persistent neck tumor after multiple treatments: a case report

  • Izry Naomi Lumbantobing Department of Otorhinolaryngology, Royal Prima Hospital, Medan, Indonesia
  • Mohd Razif Mohamad Yunus Department of Otorhinolaryngology, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, Malaysia
  • Arman Zaharil Mat Saad Department of Plastic and Reconstructive Surgery, Management & Science University Medical Centre, Selangor, Malaysia https://orcid.org/0000-0002-4003-6783
Keywords: carotid artery, neck node metastasis, reconstructive surgical procedures, squamous cell carcinoma, vascular surgical procedures
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Abstract

Carotid artery involvement in head and neck cancer is challenging for surgeons and oncologists, particularly in recurrence or residual disease following multiple treatments. However, carotid artery resection and reconstruction can be safely performed in a carefully selected patient with local and regional control benefits despite the potential morbidity and high-risk complications. We presented a case of primary laryngeal cancer treated with chemoradiotherapy, modified radical neck dissection type I for residual neck node disease, and further chemotherapy. Although the primary laryngeal cancer showed a complete response, the residual neck tumor was still unresolved and even involved the carotid artery. Therefore, carotid resection with a combined saphenous vein graft and free flap reconstruction was the treatment of choice for this patient. It is effective and safe, and the risk of morbidity has been accepted.

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Published
2022-09-22
How to Cite
1.
Lumbantobing IN, Mohamad Yunus MR, Mat Saad AZ. Carotid bypass surgery for a persistent neck tumor after multiple treatments: a case report. Med J Indones [Internet]. 2022Sep.22 [cited 2022Oct.3];1(1). Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/6130
Section
Case Report/Series