Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-05T21:11:16.616Z Has data issue: false hasContentIssue false
  • English
  • Français

Access to the traumatized vertebral artery: an unusual approach

Published online by Cambridge University Press:  29 June 2007

R. V. Lloyd ,
P. E. O'Flynn  and
N. S. Jones
R. V. Lloyd
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK.
P. E. O'Flynn
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK.
N. S. Jones*
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK.
*
Address for correspondence: Mr N. S. Jones, Department of Otorhinolaryngology – Head and Neck Surgery, Queens Medical Centre, University Hospital, Nottingham NG7 2UH.
Get access Rights & Permissions [Opens in a new window]

Abstract

Although injuries to the vertebral arteries are relatively uncommon, there are several different methods used to gain access to these vessels, and to control any bleeding arising from them. We describe a case of torrential oropharyngeal bleeding following a stab wound to the neck in which rapid access to the vertebral artery was gained using a paramedian mandibulotomy; this approach has not previously been documented. The other approaches are discussed.

Keywords

Vertebral arteryWounds, penetratingSurgery, operative
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 1 , January 1999 , pp. 76 - 78
Copyright
Copyright © JLO (1984) Limited 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ben-Menachem, Y., Fields, W. C., Cadavid, G., Gomez, L. S., Anderson, E. C., Fisher, R. G. (1987) Vertebral artery trauma: Transcatheter embolization. American Journal of Neuroradiology 8: 501–507.Google ScholarPubMed
Berguer, R. (1985)Distal vertebral artery bypass: Technique, the ‘occipital connection’ and potential uses. Journal of Vascular Surgery 2: 621–626.Google Scholar
Davidson, K. C., Weiford, E. D., Dixon, G. D. (1975) Traumatic vertebral artery pseudoaneurysm following a chiropractic manipulation. Radiology 115: 651–652.CrossRefGoogle ScholarPubMed
Edwards, W. H., Mulherin, J. L. (1980) The surgical approach to significant stenosis of vertebral and subclavian arteries. Surgery 87: 20–28.Google ScholarPubMed
Golueke, P., Sclafani, S., Phillips, T., Goldstein, A., Scalea, T., Duncan, A. (1987) Vertebral artery injury – diagnosis and management. Journal of Trauma 27(8): 856–863.CrossRefGoogle ScholarPubMed
Hatzitheofilou, C., Demetriades, D., Melissas, J., Stuart, M., Franklin, J. (1988) Surgical approaches to vertebral artery injuries. British Journal of Surgery 75: 234–237.Google Scholar
Hieshima, G. B., Mehringer, C. M., Grinnell, V. S., Hasso, A. N., Siegel, N. H., Pribram, H. F. (1978) Emergency occlusive techniques. Surgical Neuroradiology 9: 293–302.Google ScholarPubMed
Henry, A. (1973) Extensile Exposure. 2nd Edition. Churchill Livingstone, Edinburgh, pp 58–74.Google Scholar
Honma, G., Murota, K., Shiba, R., Kondo, H. (1989) Mandible and tongue-splitting approach for giant cell tumour of axis. Spine 14(11): 1204–1210.Google Scholar
Meier, D. E., Brink, B. E., Fry, W. J. (1981) Vertebral artery trauma – acute recognition and treatment. Archives of Surgery 116: 236–239.CrossRefGoogle ScholarPubMed
Rich, N. M., Spencer, F. C. (1978) Vertebral artery injuries.In Vascular Trauma (Rich, N. M., Spencer, F. C., eds.) W. B. Saunders and Co., Philadelphia, pp 284–286.Google Scholar
Robbs, J. V., Baker, L. W., Human, R. R., Vawda, I. S., Duncan, H., Rajaruthnam, P. (1981) Cervicomediastinal arterial injuries – a surgical challenge. Archives of Surgery 116: 663–667.CrossRefGoogle ScholarPubMed
Trotter, W. (1929) Operations for malignant disease of the pharynx. British Journal of Surgery 16: 485–495.Google Scholar