Pharyngo-carotid fistula and Acute Carotid Blowout Syndrome after "salvage" total laryngectomy: A Case Report

被引：0

作者：

Liu Jr, Jay C. ^{[1
]}

James, Morva ^{[1
]}

Al-Basheer, Mamoun A. ^{[2
]}

Al Agha, Rani ^{[3
]}

Sabra, Omar ^{[4
]}

机构：

[1] Royal Coll Surg Ireland Bahrain, Busaiteen, Bahrain

[2] VasoCare Vasc Ctr, Al Madina Al Monawara St 54, Amman, Jordan

[3] Dept Vasc Surg, Salmaniya Med Complex,Rd 2904, Manama, Bahrain

[4] King Hamad Univ Hosp, Dept Otolaryngol, Shaikh Isa Bin Salman Causeway, Al Sayh, Bahrain

来源：

OTOLARYNGOLOGY CASE REPORTS | 2021年 / 21卷

关键词：

Carotid blowout; Carotid artery embolization; Laryngeal cancer; Salvage laryngectomy; HEAD;

D O I：

10.1016/j.xocr.2021.100349

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: Acute Carotid Blowout Syndrome (ACBS) is an uncommon but feared complication of head and neck cancers. We present a rare Case of ACBS secondary to a pharyngo-carotid fistula post "salvage" total laryngectomy.Case report: A 45-year-old man with a history of glottic squamous cell carcinoma presented with massive transoral bleeding following total salvage laryngectomy. Imaging revealed ACBS of the ipsilateral common carotid artery, the patient underwent emergent coil embolization, and hemostasis was achieved without any neurological deficits. Further management required coil extraction and flap reconstruction due to coil extrusion.Conclusion: ACBS is a life-threatening complication of head and neck cancers which requires preventive measures as well as prompt identification and intervention to prevent fatal hemorrhaging or grave neurological morbidity.

引用

页数：3

共 4 条

[1] Pharyngocutaneous fistula after salvage laryngectomy: Impact of interval between radiotherapy and surgery, and performance of bilateral neck dissection [J].