PDF(Pubmed)
Abstract：
Laryngectomy is a common surgery for an oncosurgeon, but underlying carotid compromise is a serious concern for anesthesiologists, making this routine procedure a high-risk one. The utmost vigilance of the anesthesiologist is demanded by the surgery to prevent morbidities such as hemiplegia, hemiparesis, or speech abnormalities that may occur due to perfusion insufficiency secondary to the mechanical blockage of the carotid arteries. Hence, an undiagnosed case of carotid artery block may result in disastrous consequences for the patient, surgeon, and anesthesiologist. Hence, it is imperative to perform all the pre-operative investigations with due diligence. We present the case of a 74-year-old male who was admitted to our set-up for laryngeal carcinoma surgery. The patient had received chemoradiotherapy (CRT) six months earlier. He complained of hoarseness in his voice and a painless neck mass. He was a known case of hypertension for 14 years, controlled by oral medication, and had a history of stroke five years ago, when he was also diagnosed with a completely blocked right common carotid artery (CCA) and a partially blocked left common carotid artery.
摘要：
喉切除术是肿瘤外科医生的常见手术，但是潜在的颈动脉损害是麻醉师严重关注的问题，使这个常规程序成为高风险程序。手术要求麻醉师保持高度警惕，以防止偏瘫等疾病。偏瘫,或由于颈动脉机械阻塞继发的灌注不足而可能发生的言语异常。因此，未确诊的颈动脉阻塞病例可能会给患者带来灾难性的后果，外科医生,还有麻醉师.因此，必须尽职尽责地进行所有术前调查。我们介绍了一名74岁的男性，他被我们的喉癌手术所接受。患者在六个月前接受了放化疗（CRT）。他抱怨声音嘶哑，颈部肿块无痛。他是14年来已知的高血压患者，由口服药物控制，五年前有中风史，当他还被诊断为右颈总动脉（CCA）完全阻塞和左颈总动脉部分阻塞时。
