ReviewJournal of maxillofacial and oral surgery2025
Carotid Ligation Vs Carotid Reconstruction in Advanced Head and Neck Carcinomas- A Systematic Review.
Review in Journal of maxillofacial and oral surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Advanced head and neck cancers with carotid artery involvement pose significant therapeutic challenges. While carotid resection and reconstruction are potential management options, the comparative outcomes in terms of survival, mortality, and complications remain unclear. Objective: To compare the survival outcomes, perioperative mortality, and neurovascular complications in patients undergoing carotid resection versus carotid reconstruction. Methods: A systematic review of 12 studies involving 215 patients was conducted. Of these, 45 patients underwent carotid resection, and 170 patients underwent carotid reconstruction. Data on survival rates, mortality, complications, and follow-up duration were analyzed. Results: Carotid reconstruction was associated with significantly higher survival rates (40.59% vs. 6.67%, Conclusion: Carotid reconstruction is associated with better survival and lower morbidity compared to carotid resection. These findings suggest that carotid reconstruction should be the preferred surgical approach in resectable cases of head and neck cancer with carotid involvement.
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