Document Detail

Pseudoaneurysm after total pharyngolaryngectomy with jejunal graft insertion: two different presentations.
MedLine Citation:
PMID:  15175882     Owner:  NLM     Status:  MEDLINE    
Pharyngeal reconstruction after total pharyngolaryngectomy using a jejunal graft is now a common procedure in head and neck oncological surgery. The vascular supply of this graft comes from the anastomosis between a branch of the mesentric artery and a branch of the external carotid artery. We report two cases of pseudoaneurysm, one at the site of ligation of the lingual artery and the other at the site of arterial anastomosis. One presented with dramatic hematemesis and was managed by the interventional radiologist, and the second presented with a pulsating neck mass and required a surgical revision. In both cases, the jejunal graft survived.
A Alaani; R Hogg; S S Minhas; C Jennings; A P Johnson
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-06-02
Journal Detail:
Title:  European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery     Volume:  262     ISSN:  0937-4477     ISO Abbreviation:  Eur Arch Otorhinolaryngol     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-04-20     Completed Date:  2005-10-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9002937     Medline TA:  Eur Arch Otorhinolaryngol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  255-8     Citation Subset:  IM    
ENT Department, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, UK.
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MeSH Terms
Anastomosis, Surgical / adverse effects
Aneurysm, False / diagnosis,  etiology*,  surgery
Carcinoma, Squamous Cell / surgery
Face / blood supply*
Hematemesis / etiology
Jejunum / transplantation*
Laryngeal Neoplasms / surgery
Laryngectomy / adverse effects*
Mesenteric Arteries / surgery*
Pharyngeal Neoplasms / surgery
Pharyngectomy / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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