Lateral mandibulotomy: A technique of exposure for penetrating injuries of the internal carotid artery at the base of the skull
Identifieur interne : 00CF34 ( Main/Exploration ); précédent : 00CF33; suivant : 00CF35Lateral mandibulotomy: A technique of exposure for penetrating injuries of the internal carotid artery at the base of the skull
Auteurs : William J. Dichtel ; Robert H. Miller ; Gayle E. Woodson ; David V. Feliciano ; Julian HurtSource :
- The Laryngoscope [ 0023-852X ] ; 1984-09.
Abstract
Injuries to the internal carotid artery are rare but are frequently fatal or associated with significant neurologic sequelae. Exposure for surgical repair of penetrating injuries to the internal carotid artery at the base of the skull is difficult because of the overlying ramus of the mandible and the facial nerve. In the past, these injuries have been treated by techniques such as occlusion of the artery with a Fogarty balloon catheter, or subluxation of the temporomandibular joint to gain access to the arterial injury. Based on techniques previously reported for extirpation of parapharyngeal space tumors, we describe lateral mandibulotomy for exposure of penetrating carotid artery injuries at the base of the skull. The technique affords relatively rapid and adequate exposure of these injuries allowing ligation, or in selected cases, arterial repair.
Url:
DOI: 10.1288/00005537-198409000-00002
Affiliations:
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Dichtel</name><affiliation></affiliation><affiliation><wicri:noCountry code="subField">20307</wicri:noCountry></affiliation></author><author><name sortKey="Miller, Robert H" sort="Miller, Robert H" uniqKey="Miller R" first="Robert H." last="Miller">Robert H. Miller</name><affiliation><wicri:noCountry code="subField">TX.</wicri:noCountry></affiliation></author><author><name sortKey="Woodson, Gayle E" sort="Woodson, Gayle E" uniqKey="Woodson G" first="Gayle E." last="Woodson">Gayle E. Woodson</name><affiliation><wicri:noCountry code="subField">TX.</wicri:noCountry></affiliation></author><author><name sortKey="Feliciano, David V" sort="Feliciano, David V" uniqKey="Feliciano D" first="David V." last="Feliciano">David V. Feliciano</name><affiliation><wicri:noCountry code="subField">TX.</wicri:noCountry></affiliation></author><author><name sortKey="Hurt, Julian" sort="Hurt, Julian" uniqKey="Hurt J" first="Julian" last="Hurt">Julian Hurt</name><affiliation><wicri:noCountry code="subField">TX.</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">The Laryngoscope</title><title level="j" type="alt">LARYNGOSCOPE</title><idno type="ISSN">0023-852X</idno><idno type="eISSN">1531-4995</idno><imprint><biblScope unit="vol">94</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1140">1140</biblScope><biblScope unit="page" to="1144">1144</biblScope><biblScope unit="page-count">5</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>Hoboken, NJ</pubPlace><date type="published" when="1984-09">1984-09</date></imprint><idno type="ISSN">0023-852X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0023-852X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Injuries to the internal carotid artery are rare but are frequently fatal or associated with significant neurologic sequelae. Exposure for surgical repair of penetrating injuries to the internal carotid artery at the base of the skull is difficult because of the overlying ramus of the mandible and the facial nerve. In the past, these injuries have been treated by techniques such as occlusion of the artery with a Fogarty balloon catheter, or subluxation of the temporomandibular joint to gain access to the arterial injury. Based on techniques previously reported for extirpation of parapharyngeal space tumors, we describe lateral mandibulotomy for exposure of penetrating carotid artery injuries at the base of the skull. The technique affords relatively rapid and adequate exposure of these injuries allowing ligation, or in selected cases, arterial repair.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Dichtel, William J" sort="Dichtel, William J" uniqKey="Dichtel W" first="William J." last="Dichtel">William J. 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