Salvage surgery for recurrent neck carcinoma after multimodality therapy

Mark Urken, Hugh F. Biller, William Lawson, Moshe Haimov

Research output: Contribution to journalArticlepeer-review

49 Scopus citations


Recurrent carcinoma of the neck after treatment by radical neck dissection and radiotherapy leads to a progressive downhill course if no further therapy is instituted. Nine such patients having fixed, recurrent neck tumors with carotid artery involvement underwent 10 salvage procedures with carotid artery resection and replacement. One patient developed a transient hemiparesis that resolved in 3 days, and in another, a permanent hemiparesis occurred. Three patients have survived longer than 12 months. One patient is free of disease at 42 months following two salvage operations. We attribute the low operative morbidity to the frequent use of the subclavian artery for proximal anastomosis and myocutaneous flaps to resurface cutaneous and mucosal defects. We conclude that salvage surgery with carotid artery replacement can be performed on selected patients who have failed combined therapy as a palliative and possibly curative measure.

Original languageEnglish
Pages (from-to)332-342
Number of pages11
JournalHead and Neck
Issue number5
StatePublished - 1986


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