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October 1959

Experiences with Vascular Abnormalities About the Parotid Gland and Upper Neck

Author Affiliations

Nashville, Tenn.

AMA Arch Surg. 1959;79(4):553-566. doi:10.1001/archsurg.1959.04320100019004

Aneurysms and arteriovenous fistulae in the region of the parotid gland, pterygoid fossa, and upper neck are rarely seen. This report deals with seven patients in whom such lesions occurred, and whom it has been our privilege to handle during the past four years. In addition to the ablation of a vascular abnormality, the location of the lesion imposes an added problem of striving to Preserve, if possible, the cranial nerves which are often so intimately involved with the aneurysm. In those cases involving the common or internal carotid arteries, the question of cerebral ischemia also arises when it becomes necessary to ligate these vessels. Thus we are faced with both vascular and neurologic considerations in such patients.

Much of the work of many us in this Society is concerned with the eradication of malignant disease, and in this work the surgical philosophy must be that we stay as far

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