Ashok Shaha, MD, T. Phillips, MD, T. Scalea, MD, P. Golueke, MD, J

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Presentation transcript:

Exposure of the internal carotid artery near the skull base: The posterolateral anatomic approach Ashok Shaha, MD, T. Phillips, MD, T. Scalea, MD, P. Golueke, MD, J. McGinn, MD, S. Sclafani, MD, E. Hoover, MD, B.M. Jaffe, MD Journal of Vascular Surgery Volume 8, Issue 5, Pages 618-622 (November 1988) DOI: 10.1016/0741-5214(88)90314-X Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Preferred incision for exploration of the internal carotid artery. Dotted lines document that the incision may be extended as required. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 1, Cut surface of the sternocleidomastoid muscle; 2, internal jugular vein; 3, vagus nerve; 4, internal carotid artery; 5, digastric muscle; 6, hypoglossal nerve; 7, external carotid artery; 8, omohyoid muscle retracted medially; 9, common carotid artery; 10, parotid gland. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 11, Ligated stump of occipital artery; 12, cut end of posterior belly of digastric muscle. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 13, The angle of mandible retracted. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 14, Facial nerve exposed, tail of parotid excised, and facial nerve retracted. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Angiogram from case 1 shows high internal carotid injury. Arrow points to site of injury. Journal of Vascular Surgery 1988 8, 618-622DOI: (10.1016/0741-5214(88)90314-X) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions