Carotid Ligation Vs Carotid Reconstruction in Advanced Head and Neck Carcinomas- A Systematic Review.

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2025-10-01 Epub Date: 2025-02-04 DOI:10.1007/s12663-025-02463-x

M V Sowmya, S Ezhilarasi

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引用次数: 0

Abstract

Background: Advanced head and neck cancers with carotid artery involvement pose significant therapeutic challenges. While carotid resection and reconstruction are potential management options, the comparative outcomes in terms of survival, mortality, and complications remain unclear.

Objective: To compare the survival outcomes, perioperative mortality, and neurovascular complications in patients undergoing carotid resection versus carotid reconstruction.

Methods: A systematic review of 12 studies involving 215 patients was conducted. Of these, 45 patients underwent carotid resection, and 170 patients underwent carotid reconstruction. Data on survival rates, mortality, complications, and follow-up duration were analyzed.

Results: Carotid reconstruction was associated with significantly higher survival rates (40.59% vs. 6.67%, p < 0.001) and lower mortality (57.64% vs. 88.89%, p < 0.001) compared to resection. Perioperative deaths were significantly lower in the reconstruction group (0.59% vs. 15.56%, p < 0.001). Neurovascular complications were also more frequent in the resection group (33.33% vs. 4.11%, p < 0.001).

Conclusion: Carotid reconstruction is associated with better survival and lower morbidity compared to carotid resection. These findings suggest that carotid reconstruction should be the preferred surgical approach in resectable cases of head and neck cancer with carotid involvement.

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颈动脉结扎与颈动脉重建术治疗晚期头颈癌的系统综述。

背景：累及颈动脉的晚期头颈癌是治疗上的重大挑战。虽然颈动脉切除术和重建是潜在的治疗选择，但在生存率、死亡率和并发症方面的比较结果仍不清楚。目的：比较颈动脉切除术与颈动脉重建术患者的生存结局、围手术期死亡率和神经血管并发症。方法：对涉及215例患者的12项研究进行系统综述。其中，45例患者行颈动脉切除术，170例患者行颈动脉重建。分析了生存率、死亡率、并发症和随访时间的数据。结果：颈动脉重建术的生存率明显高于颈动脉切除术（40.59% vs. 6.67%, p p p p p）。结论：与颈动脉切除术相比，颈动脉重建术的生存率更高，发病率更低。这些发现表明，颈动脉重建应该是可切除的头颈癌累及颈动脉的首选手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.