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May 1962

Emergency Carotid Ligation

Arch Otolaryngol. 1962;75(5):451-456. doi:10.1001/archotol.1962.00740040462013

Because of the increasing incidence of radical surgery of the head and neck, there have been questions raised regarding the sequelae of ligating the common carotid artery to control hemorrhage. This procedure may have dire consequences, with death and neurologic complications.

The literature is filled with statistics citing percentages of morbidity and mortality of common carotid artery ligation. It is the purpose of this article to report on 10 cases of emergency ligation of the common carotid artery in the older age group, 50-75 years. These emergency procedures were undertaken because of "blow out" of the carotid artery due to poor health and retraction of the skin flaps following laryngectomy and radical neck dissection and in one case due to invasion of the external carotid artery by tumor.

Report of Cases  During the period 1956 through 1960, there were 160 operations of laryngectomy with radical neck dissection performed at Cook

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