RT Journal
A1 VOSSELER AJ, FICARRA BJ
T1 LIgation of carotid arteries for advanced malignant neoplasms of the head and neck
JF Archives of Surgery
JO Archives of Surgery
YR 1949
FD January 1
VO 58
IS 1
SP 35
OP 41
DO 10.1001/archsurg.1949.01240030038004
UL http://dx.doi.org/10.1001/archsurg.1949.01240030038004
AB THE management of patients with advanced malignant neoplasms often necessitates an emergency surgical procedure. In the treatment of eroding neoplasms of the head and neck, ligation of the major arteries supplying these anatomic areas may become a necessity for the preservation of life. In these circumstances it may be indicated to ligate the common carotid artery or the external carotid artery, and sometimes certain of its branches.Ligation of these vessels is advocated (1) to protect against bleeding, as a preliminary step to a radical surgical procedure on the head or neck; (2) to control active hemorrhage, and (3) to diminish the blood supply to inoperable neoplastic lesions, in the hope of decreasing the tumor growth and/or of preventing bleeding.Specifically, the common carotid artery may be ligated to control profuse hemorrhage from the deeper structures of the upper cervical regions, as well as from ulcerating neoplasms in the throat.