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Simultaneous carotid endarterectomy and free flap surgery for head and neck microvascular reconstruction
Introduction/aims: Microvascular free flaps are the gold standard for reconstruction of head and neck defects. However, suitable recipient vessels are essential. Stenosis of the carotid tree is most commonly due to atherosclerosis, which shares risk factors with head and neck squamous cell carcinoma. Free flaps are often not carried out in these patients due to the risk of failure and complications. Carotid endarterectomy (CEA) offers an evidence based intervention for stroke risk reduction but its use for improving vascularity to free flaps has not been previously reported.
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2015 Category: ENT & OMF Authors: N. Opie, N. Pattni, S. Colley, M. Simms, P. Praveen, T. Martin, S. Parmar Tags: P 76 Source Type: research