The significance of the pharyngeal veins during carotid endarterectomy: description of an anatomical triangle
| العنوان: | The significance of the pharyngeal veins during carotid endarterectomy: description of an anatomical triangle |
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| المؤلفون: | V Mahadevan, J Aldoori, Munther I. Aldoori |
| المصدر: | The Annals of The Royal College of Surgeons of England. 100:125-128 |
| بيانات النشر: | Royal College of Surgeons of England, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Vascular Surgery, Carotid endarterectomy, 030230 surgery, Veins, 03 medical and health sciences, 0302 clinical medicine, medicine.artery, medicine, Humans, Vein, Endarterectomy, Carotid, Hypoglossal Nerve Injuries, business.industry, General Medicine, Anatomy, Nerve injury, Surgery, Pharyngeal vein, Carotid Arteries, medicine.anatomical_structure, Vagus Nerve Injuries, cardiovascular system, Pharynx, medicine.symptom, Internal carotid artery, Ligation, business, 030217 neurology & neurosurgery |
| الوصف: | Injuries to the hypoglossal and vagus nerves are the most commonly reported injuries during carotid endarterectomy. While unilateral single nerve injury is usually well tolerated, bilateral or combined nerve injuries can pose a serious threat to life. This study aims to increase awareness of the inferior pharyngeal vein, which usually passes posterior to the internal carotid artery but sometimes crosses anterior to it. Injury to either or both hypoglossal and vagus nerves can occur during control of unexpected haemorrhage from the torn and retracted edges of the inferior pharyngeal vein. We recommend careful ligation and division of this vein. In addition, we observed in 9 (17.3%) of the 52 operations that the pharyngeal vein formed a triangle with the vagus and hypoglossal nerves when it passes anterior to the internal carotid artery. |
| تدمد: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2017.0176 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::90a3c61f1a37ad639730d97bc5f7216d https://doi.org/10.1308/rcsann.2017.0176 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....90a3c61f1a37ad639730d97bc5f7216d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14787083 00358843 |
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| DOI: | 10.1308/rcsann.2017.0176 |