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  • Title: Carotid artery sacrifice testing: assessment in patients with advanced head and neck cancer.
    Author: Lejeune HB, Cote DN.
    Journal: J La State Med Soc; 1995 Feb; 147(2):55-8. PubMed ID: 7897288.
    Abstract:
    The otolaryngologist seeking a cure of the patient with advanced cancer of the head and neck removes all neck metastases along with the primary tumor. Tumor involvement of the carotid artery presents a special dilemma to the otolaryngologist because a complete resection would mean removal of the affected carotid artery, a procedure which has, historically, carried high morbidity and mortality rates. Today, the otolaryngologist will offer tumor resection with carotid artery sacrifice only after a patient passes a preoperative assessment of collateral circulation to the brain. Numerous methods have been devised to determine a patient's preoperative risk of neurologic compromise. Several tests are detailed and their usefulness discussed.
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