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Article
August 1979

Ophthalmoplethysmography in Head and Neck Surgery

Author Affiliations

From the Departments of Otolaryngology (Drs Nolph, Martinez, and deFries) and Surgery (Dr Gee), National Naval Medical Center, Bethesda, Md, and the Division of Otolaryngology, Uniformed Services University of the Health Sciences, Bethesda, Md (Dr deFries).

Arch Otolaryngol. 1979;105(8):492-495. doi:10.1001/archotol.1979.00790200054011
Abstract

• Ophthalmoplethysmography (OPG) is a simple, noninvasive diagnostic test in which the cerebral hemispheric blood flow can be indirectly measured. Its use in head and neck surgery is invaluable because it enables the surgeon to predict preoperatively whether a patient will survive carotid artery resection. In a threeyear period, nine patients have survived carotid resection on the basis of favorable OPGs, without a death or permanent neurologic complication. A comparison of the results of OPG testing with intraoperative measurement of internal carotid artery pressure showed close correlation in 14 of 20 patients who were tested. Lack of correlation in four patients can be explained by the circumstances of the intraoperative test. This study's findings demonstrate that this test has high clinical reliability.

(Arch Otolaryngol 105:492-495, 1979)

References
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Martinez SA, Oller DW, Gee W, et al:  Elective carotid artery resection .  Arch Otolaryngol 101:744-747, 1975.Crossref
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Gee W, Mehigan JT, Wylie EJ:  Measurement of collateral cerebral hemispheric blood pressure by ocular pneumoplethysmography .  Am J Surg 130:121-127, 1975.Crossref
3.
Gee W, Oller DW, Homer LD, et al:  Simultaneous bilateral determination of the systolic pressure of the ophthalmic arteries by ocular pneumoplethysmography .  Invest Ophthalmol 16:86-89, 1977.
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Hays RJ, Levinson SA, Wylie EJ:  Intraoperative measurement of carotid back pressure as a guide to operative management for carotid endarterectomy .  Surgery 72:953-960, 1972.
5.
Galin MA, Baras I, Best M, et al:  Methods of suction ophthalmodynamometry .  Ann Ophthalmol 1:439-443, 1970.
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