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February 1966

Vascular Surgery in Head and Neck Tumors

Author Affiliations

From Good Samaritan Hospital, Suffern, NY, and New York Medical College and St. Clare's Hospital, New York.

Arch Otolaryngol. 1966;83(2):109-113. doi:10.1001/archotol.1966.00760020111006

THIS SUBJECT of vascular surgery in treatment of tumefactions of the head and neck1-6 can be divided into two general groups: (1) tumors which involve major blood vessels of the head and neck either primarily, as the carotid body tumor, or secondarily, as metastatic carcinoma from some other primary; and (2) tumors which in themselves are vascular in origin such as: (a) aneurysms of the carotid artery, (b) arteriovenous fistulae with aneurysmal formation, and (c) hemangiomas or lymph hemangiomas.

In the first group, the surgical principles involved consist of resection of the tumor with the involved carotid vessel and re-establishment of vascular continuity, using either a prosthetic graft or an autogenous vein graft.

It is believed that in the surgical treatment of carotid body tumors, the preferred therapy is resection of the tumor with the juxtaposed bifurcation of the common carotid artery and the reestablishment of the common carotid-internal

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