External Carotid Artery Ligation an Elective Procedure of Controlling Inadvertent Bleeding from Oral Malignancies: Experience at Dhaka Dental College and Hospital
Jachmen Sultana, Abul Bashar, Sobhan Morol
Correspondence Address :
Department of Oral and Maxillofacial Surgery
Dhaka Dental College and Hospital
Received on: May 02, 2017 , Accepted on: May 18, 2017 , Published on: May 26,2017
Citation: Jachmen Sultana, Abul Bashar, Sobhan Morol (2017). External Carotid Artery Ligation an Elective Procedure of Controlling Inadvertent Bleeding from Oral Malignancies: Experience at Dhaka Dental College and Hospital
Copyright: 2017 Jachmen Sultana, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Background: When an intraoral malignancy extends into the infratemporal space with pterygoid muscle involvement causing trismus or a huge neck mass with encasement or invasion to great vessels specially internal jugular vein, then the conditions frequently required extensive surgical procedures with compulsory ligation and sacrifice of vascular elements to get a resectable tumour margin or to control excessive bleeding.
Introduction: A very embarrassing and frequently dangerous complication during or after maxillofacial surgical procedure is bleeding. This can be avoided in most of the cases by careful preoperative evaluation of the patient, better anatomical knowledge and careful dissection during surgery. But in advanced malignancy cases when meticulous dissection is nearly impossible and bleeding cannot be arrested by simple clamping or ligation of vessels then ipsilateral external carotid artery (ECA) ligation would be a better option to control uncontrolled bleeding. This study was aimed to emphasize clinical significance from different perspective.
Material and Methods: ECA ligation was done prophylactically during neck dissection as a part of the operative procedure at the level just above or below lingual artery.
Results: A successful treatment of 14 cases were done without any significant complications.
Conclusion: Ipsilateral ECA ligation either prophylactically or an emergency cases is a life-saving and simple procedure with limited morbidity.
Keywords: Advanced malignancy, ECA ligation, Maxillofacial region, Neck mass, Oncologic emergency.