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January 1942


Arch Otolaryngol. 1942;35(1):30-52. doi:10.1001/archotol.1942.00670010031002

It is probably not often that an otolaryngologist is called on to do surgical work on the blood vessels in the neck, and yet, on occasions when this becomes necessary, the importance of the outcome, dependent on a careful technic, is paramount and calls for prompt diagnosis, decision and action. It is with regard to this problem that this paper is undertaken.

The location of the smaller blood vessels is not always easily ascertained, but in the case of the larger vessels not only is there a problem of which vessel to approach but there is a question as to what type of surgical procedure should be used.

If one disregards the problems of aneurysmorrhaphy or anastomosis of blood vessels, wiring of an aneurysm and stripping of the adventitia, the usual condition presenting is one which calls for obstructing the flow of blood through the vessel concerned. In short, shall