Abstract
Injury to the greater auricular, hypoglossal and superior laryngeal nerves during carotid endarterectomy is preventable. A knowledge of regional anatomy and the mechanisms of such injury allows prevention of this complication. Unilateral individual nerve injury is generally well tolerated, but bilateral or combined nerve injuries can pose a serious threat to life. Minor modifications in technique aid greatly in avoiding nerve injury.
Full text
PDF



Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bageant T. E., Tondini D., Lysons D. Bilateral hypoglossal-nerve palsy following a second carotid endarterectomy. Anesthesiology. 1975 Nov;43(5):595–596. doi: 10.1097/00000542-197511000-00026. [DOI] [PubMed] [Google Scholar]
- DeWeese J. A., Rob C. G., Satran R., Marsh D. O., Joynt R. J., Summers D., Nichols C. Results of carotid endarterectomies for transient ischemic attacks-five years later. Ann Surg. 1973 Sep;178(3):258–264. doi: 10.1097/00000658-197309000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DeWeese J. A., Rob C. G., Satran R., Norris F. H., Lipchik E. O., Zehl D. N., Long J. M. Surgical treatment for occlusive disease of the carotid artery. Ann Surg. 1968 Jul;168(1):85–94. doi: 10.1097/00000658-196807000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Imparato A. M., Bracco A., Kim G. E., Bergmann L. The hypoglossal nerve in carotid arterial reconstructions. Stroke. 1972 Sep-Oct;3(5):576–578. doi: 10.1161/01.str.3.5.576. [DOI] [PubMed] [Google Scholar]
- Rainer W. G., Feiler E. M., Bloomquist C. D., McCrory C. B. Surgical approach to carotid arterial insufficiency. Risks and results. Ann Thorac Surg. 1966 Sep;2(5):640–648. doi: 10.1016/s0003-4975(10)66633-7. [DOI] [PubMed] [Google Scholar]