Carotid endarterectomy for the management of carotid stenosis occurring concurrently with head and neck cancer.

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
Julia Telischi, Eric Nisenbaum, Elizabeth Nicolli
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引用次数: 0

Abstract

Purpose of review: Currently, most patients with concurrent head and neck cancer (HNC) and carotid stenosis (CS) are treated disjointedly for their oncologic and vascular lesions. The purpose of this review is to evaluate literature exploring a novel approach to these cases that poses several advantages, in which carotid endarterectomy (CEA) is performed simultaneously with surgical resection of HNC.

Recent findings: Carotid stenosis is a common comorbidity of patients presenting with head and neck cancer as these pathologies have overlapping risk factors. Adjuvant oncologic therapy such as radiation therapy to the site of the lesion is known to increase development or progression of carotid stenosis. Performing simultaneous surgical management of CS and HNC decreases total procedures for the patient, provides a less challenging surgical field, and eliminates prioritization of treatment initiation for one pathology over the other. There has been limited reporting of simultaneous CEA with oncologic resection of HNC in the literature. However, of the 21 cases reviewed here, no perioperative strokes were reported with only one perioperative death from myocardial infarction.

Summary: Available literature supports that simultaneous CEA with oncologic resection of HNC is safe and may offer several advantages, although larger studies are required.

颈动脉内膜切除术治疗头颈部癌症并发颈动脉狭窄。
综述目的:目前,大多数同时患有癌症(HNC)和颈动脉狭窄(CS)的患者因其肿瘤和血管病变而被分开治疗。这篇综述的目的是评估文献,探索一种新的方法来治疗这些病例,这种方法具有几个优点,其中颈动脉内膜切除术(CEA)与HNC手术切除术同时进行。最近的研究结果:颈动脉狭窄是癌症头颈部患者的常见合并症,因为这些疾病具有重叠的风险因素。已知辅助肿瘤学治疗,例如对病变部位的放射治疗会增加颈动脉狭窄的发展或进展。同时进行CS和HNC的手术管理减少了患者的总手术量,提供了一个不那么具有挑战性的手术领域,并消除了一种病理的治疗开始优先于另一种病理。在文献中,CEA与HNC肿瘤切除术同时进行的报道有限。然而,在这里回顾的21例病例中,没有围手术期中风的报告,只有一例围手术期心肌梗死死亡。综述:现有文献支持CEA与HNC肿瘤切除术同时进行是安全的,并且可能提供几个优点,尽管还需要更大规模的研究。
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
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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