The authors present an unusual case of a spontaneous carotid-cutaneous fistula occurring as a late complication 4 years after radical neck dissection and postoperative radiation therapy for tonsillar squamous cell carcinoma in a 50-year-old patient. The etiologic factors predisposing patients to carotid artery rupture following radical neck dissection and a surgical option for carotid artery reconstruction instead of ligation are discussed.
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References
1.
1. Ketcham AS, Hove RC: Spontaneous carotid artery hemorrhage after head and neck surgery. Am J Surg110:649-655, 1965.
2.
2. Maran AGD, Amin M, Wilson JA: Radical neck dissection: A 19-year experience. J Laryngol Otol103:760-764, 1989.
3.
3. Porto DP, Adams GL, Foster C: Emergency management of carotid artery rupture. Am J Otolaryngol7:213-217, 1986.
4.
4. Morrissey DD, Andersen PE, Nesbit GM, et al: Endovascular management of hemorrhage in patients with head and neck cancer. Arch Otolaryngol Head Neck Surg123:15-19, 1997.
5.
5. Moore OS, Karlan M, Sigler L: Factors influencing the safety of carotid ligation. Am J Surg118:666-668, 1969.
