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December 1961

Vascular Surgery in Operations of the Head and Neck

Arch Otolaryngol. 1961;74(6):646-651. doi:10.1001/archotol.1961.00740030659008

As elsewhere in the body, vascular problems in the head and neck, which are amenable to surgical treatment, can be grouped into 3 main categories. In one group are those lesions associated with degenerative disease, characterized by varying degrees of occlusion of the major arteries. The second group contains the immediate and late sequelae of injuries to the major vessels. The third group, although small, contains the vessels which are directly invaded by a neoplasm.

Vascular Occlusive Disease  As high as 40% to 50% of all stroke patients have been found to have obstruction of their cerebral blood flow extracranially, either in the neck or superior mediastinum. A large percentage of such patients can be treated surgically by relieving this obstruction, which is usually arteriosclerotically based, or occasionally due to kinking of a major vessel. Hence, any patient with a clinical picture of stroke, namely, aphasia, hemiplegia, monocular blindness, should

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