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Management of Carotid Blowout from Radiation Necrosis

, : Management of Carotid Blowout from Radiation Necrosis. Otolaryngologic Clinics of North America 49(3): 829-839

Although the incidence of carotid blowout has decreased with the advent of better reconstructive techniques, it remains a real risk after major head and neck surgery, especially in an irradiated field. A systematic, multidisciplinary approach incorporating appropriate history and physical examination, adequate resuscitation, diagnostic computed tomography, and diagnostic and therapeutic angiography can manage most of these patients in a safe and effective manner. Surgery has a limited role in acute management, although surgical techniques are useful both for prevention of this problem and for wound management after carotid blowout.


PMID: 27267029

DOI: 10.1016/j.otc.2016.02.001

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