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Aberrant innominate artery: A possible hazard during total laryngectomy

BACKGROUND: Surgical management in laryngeal carcinoma remains a challenge with countless unexpected complications. Great vessel anomalies such as anomaly of the innominate artery carry high risk of morbidity and mortality if not managed properly. METHODS: We present our first experience with an abe...

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Autores principales: Nijkamp, Jamie, Jaafar, Rohaizam Bin Japar, Postma, Linda, Snoeijs, Maarten, Qiu Shao, Shan Shan, Tan, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580061/
https://www.ncbi.nlm.nih.gov/pubmed/31236463
http://dx.doi.org/10.1002/lio2.263
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author Nijkamp, Jamie
Jaafar, Rohaizam Bin Japar
Postma, Linda
Snoeijs, Maarten
Qiu Shao, Shan Shan
Tan, Bing
author_facet Nijkamp, Jamie
Jaafar, Rohaizam Bin Japar
Postma, Linda
Snoeijs, Maarten
Qiu Shao, Shan Shan
Tan, Bing
author_sort Nijkamp, Jamie
collection PubMed
description BACKGROUND: Surgical management in laryngeal carcinoma remains a challenge with countless unexpected complications. Great vessel anomalies such as anomaly of the innominate artery carry high risk of morbidity and mortality if not managed properly. METHODS: We present our first experience with an aberrant innominate artery during total laryngectomy which complicated the whole surgical procedure and tracheostoma placement. RESULTS: We decided to place a pectoralis major muscle flap to separate and cover up the aberrant vessel from the trachea and end‐stoma which ultimately did not lead to major complications postoperatively and postradiation therapy. CONCLUSION: Aberrant innominate artery is an extremely rare entity and failure of recognizance can lead to hazardous complications. Preoperative angiography needs to be done if there are high suspicions of aberrant vessels in the operative field. Careful dissection of the head and neck region, and prompt decision making are mandatory to manage such cases. LEVELS OF EVIDENCE: Case Report
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spelling pubmed-65800612019-06-24 Aberrant innominate artery: A possible hazard during total laryngectomy Nijkamp, Jamie Jaafar, Rohaizam Bin Japar Postma, Linda Snoeijs, Maarten Qiu Shao, Shan Shan Tan, Bing Laryngoscope Investig Otolaryngol Head and Neck, and Tumor Biology BACKGROUND: Surgical management in laryngeal carcinoma remains a challenge with countless unexpected complications. Great vessel anomalies such as anomaly of the innominate artery carry high risk of morbidity and mortality if not managed properly. METHODS: We present our first experience with an aberrant innominate artery during total laryngectomy which complicated the whole surgical procedure and tracheostoma placement. RESULTS: We decided to place a pectoralis major muscle flap to separate and cover up the aberrant vessel from the trachea and end‐stoma which ultimately did not lead to major complications postoperatively and postradiation therapy. CONCLUSION: Aberrant innominate artery is an extremely rare entity and failure of recognizance can lead to hazardous complications. Preoperative angiography needs to be done if there are high suspicions of aberrant vessels in the operative field. Careful dissection of the head and neck region, and prompt decision making are mandatory to manage such cases. LEVELS OF EVIDENCE: Case Report John Wiley & Sons, Inc. 2019-05-07 /pmc/articles/PMC6580061/ /pubmed/31236463 http://dx.doi.org/10.1002/lio2.263 Text en © 2019 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals, Inc. on behalf of The Triological Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Head and Neck, and Tumor Biology
Nijkamp, Jamie
Jaafar, Rohaizam Bin Japar
Postma, Linda
Snoeijs, Maarten
Qiu Shao, Shan Shan
Tan, Bing
Aberrant innominate artery: A possible hazard during total laryngectomy
title Aberrant innominate artery: A possible hazard during total laryngectomy
title_full Aberrant innominate artery: A possible hazard during total laryngectomy
title_fullStr Aberrant innominate artery: A possible hazard during total laryngectomy
title_full_unstemmed Aberrant innominate artery: A possible hazard during total laryngectomy
title_short Aberrant innominate artery: A possible hazard during total laryngectomy
title_sort aberrant innominate artery: a possible hazard during total laryngectomy
topic Head and Neck, and Tumor Biology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6580061/
https://www.ncbi.nlm.nih.gov/pubmed/31236463
http://dx.doi.org/10.1002/lio2.263
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