Resection of the internal carotid artery in selected patients affected by cancer of the skull base

Ferrari M., Zanoletti E., Taboni S., Cazzador D., Tealdo G., Schreiber A., ...Daha Fazla

Head and Neck, cilt.44, sa.4, ss.1030-1042, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 44 Sayı: 4
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1002/hed.26967
  • Dergi Adı: Head and Neck
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1030-1042
  • Anahtar Kelimeler: cancer, head and neck, internal carotid artery, skull base, vascular surgical procedure, ADENOID CYSTIC CARCINOMA, ADVANCED HEAD, CEREBRAL REVASCULARIZATION, SAPHENOUS-VEIN, NECK, RECONSTRUCTION, MANAGEMENT, OCCLUSION, REIRRADIATION, INVASION
  • Kayseri Üniversitesi Adresli: Hayır

Özet

© 2021 Wiley Periodicals LLC.Invasion of the internal carotid artery (ICA) has been historically considered a criterion of non-resectability of skull base cancer (SBC). Patients affected by SBC who underwent surgery including resection of ICA at two tertiary institutions were included. Demographics, oncologic, and surgical information, complications, and survival outcomes were retrospectively reviewed. Survival outcomes were calculated. Ten patients were included. Three surgical approaches (transnasal endoscopic, transorbital, and transpetrosal) were employed to resect the invaded/abutted tract(s) of the ICA. All patients underwent ICA temporary balloon occlusion test. In two patients, an extracranial-to-intracranial arterial bypass was harvested. Major neuromorbidity was observed in two patients. Perioperative mortality of the series was 10.0%. Mean overall survival was 27.2 months, with 2-year overall and progression-free survival rate of 88.9%. ICA resection is feasible as part of the ablation performed for very advanced SBCs. Survival outcomes are acceptable in adequately selected patients.