OUTCOME OF CAROTID-ARTERY RESECTION FOR NEOPLASTIC DISEASE - A METAANALYSIS

被引:58
作者
SNYDERMAN, CH
DAMICO, F
机构
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D O I
10.1016/0196-0709(92)90079-9
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Purpose: To determine the neurologic morbidity and oncologic effectiveness of carotid resection in patients with advanced squamous cell carcinoma of the head and neck. Methods: A retrospective review of all published cases of squamous cell carcinoma of the head and neck treated by carotid resection was performed. Results: A major neurologic complication occurred in 17% of patients. Neurologic morbidity was not associated with the method of carotid artery reconstruction. Two-year disease-free survival was 22%. The majority of recurrences were local or regional. Comparison of survival of this group to a similarly staged control group demonstrated no significant difference in survival. Conclusion: This review of the literature suggests that elective carotid resection achieves significant local/regional control of disease and that carotid artery involvement is not a poor prognostic factor in patients with advanced head and neck cancer. © 1992.
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页码:373 / 380
页数:8
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