April 1997

Baroreflex Dysfunction After Nasopharyngectomy and Bilateral Carotid Isolation

Author Affiliations

From the Department of Surgery and Division of Otolaryngology—Head and Neck Surgery, Stanford University Medical Center, Stanford, Calif. Dr Lee is now with the Columbia Presbyterian Medical Center, New York, NY. Dr Brown is now with the Department of Otolaryngology, King-Drew Medical Center, Los Angeles, Calif.

Arch Otolaryngol Head Neck Surg. 1997;123(4):434-437. doi:10.1001/archotol.1997.01900040080012

Baroreflex dysfunction (BRD) is an uncommon but perplexing clinical entity that occurs after an operation performed in the head and neck. Cases of BRD have occasionally been reported after bilateral carotid endarterectomies1-3 and in rare brain-stem tumors.4,5 We describe, for the first time to our knowledge, BRD in a patient after nasopharyngectomy and bilateral carotid isolation for recurrent nasopharyngeal carcinoma.