THE TEMPORARY MANDIBLE SUBLUXATION DURING SURGICAL TREATMENT OF HIGH-LEVEL ATHEROSCLEROTIC DAMAGES OF EXTRACRANIAL PART OF INTERNAL CAROTID ARTERY
Abstract
This article discusses the feartures of surgical treatment of patients with high-level atherosclerotic damages of extracranial part of internal carotid artery (ICA): high bifurcation of common carotid artery (CCA), ICA stenosis by prolonged atherosclerotic plaque, high tortuosity of ICA. The temporary mandible subluxation is one of the method for approach to distal parts of cervical ICA. The anatomical features and surgical tricks of approach to distal parts of cervical ICA are presented. The one—sided temporary mandible subluxation provides the additional space for approach to distal part of cervical ICA and allows performing the necessary volume of reconstructive operation.
About the Authors
V. A. Dalibaldyan
Московский государственный медико-стоматологический университет им. А.И. Евдокимова.
Russian Federation
Russian Federation
V. A. Luk’yanchikov
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
A. Z. Shalumov
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
N. A. Polunina
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
A. S. Tokarev
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
Yu. I. Shatokhina
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
V. N. Stepanov
НИИ скорой помощи им. Н.В. Склифосовского.
Russian Federation
Russian Federation
References
1. Гавриленко А.В., Сандриков В.А., Иванов В.А., Пивень А.В. и соавт. Каротидная эндартерэктомия или каротидное стентирование: выбор оптимального метода лечения больных со стенозами сонных артерий. Ангиология и сосудистая хирургия. Том 17; № 2/2011, стр. 70—74.
2. Маккей В., Нейлор Р. Хирургия сонных артерий. Руководство для врачей и ординаторов. 2000 — 607с.
3. Biasi G.M., Froio A., Dietrich E.B., Deleo G., Galimberti S. et al. Carotid plaque echolucency increases the risk of stroke in carotid stenting: the Imaging in Carotid Angioplasty and Risk of Stroke (ICAROS) study. Circulation. 2004; 100(6): 756—62.
4. Dossa C., Shepard A., Woford G., Reddy D., Ernst C. Distalinternal carotid exposure: a simplified technique for temporarymandibular subluxation. J VascSurg 1990;12:319—25.
5. Ernst C. B. Surgical Rounds, 1985, vol. 8, N 1, p. 21—29.
6. Ernst C.B., Dossa C., Stephard A.D. Mandibular subluxation for exposure of the distal internal carotid artery. In: Greenhalgh R.M. Hollier L. (eds) Surgery For Stroke. London: W.B. Saunders, 1993. Pp. 199—204.
7. Fisch U.P., Oldring D.J., Senning A. Surgical therapy of internal carotid artery lesions of the skull base and temporal bone. Otolaryngol Head Neck Surg 1980; 88:548—54.
8. Fisher D.F., Clagett G.P., Parker J.I., Fry R.E., Poor M.R., Finn R.A., B.E. Brink and Fry W.J. Mandibular subluxation for high carotid exposure. Journal of Vascular Surgery. 1984. 1: 727 — 733.
9. Fry R.E., Fry W.J. Extracranial carotid artery injuries. Surgery 1980; 88: 581—6.
10. Mas J.L., Chatellier G., Beyssen B., Branchereau A. et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. New England. Journal of medicine. 2006; 355(16): 1660—1671.
11. Pauliukas P. Surgical approach to the distal extracranial part of the internal carotid artery at the base of the skull. Khirurgia (Moscow) , 1989, N. 3, p. 35—40.
12. Pellegrini R.V., Manzetti G.W., DiMarco R.F., Bekoe S., Arena S.A., Marrangoni A.G. The direct surgical management of lesions of the high internal carotid artery. J CardiovascSurg, 1984; 25: 29 — 35.
13. Rosamond W. et al. Heart Disease and Stroke Statistics — 2008 Update. A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 2008; 117: 25—146.
14. Simonian G.T., Pappas P.J., Padberg F.T., Samit A., Silva M.B., Jamil Z. and Hobson II R.W. Mandibular subluxation for distal internal carotid exposure: Technical considerations. J VascSurg 1999; 30: 1116 — 30.
15. Stanley J.C. Discussion of Fisher D.F., Clagett G.P., Parker J.I. et al. Mandibular subluxation for high carotid exposure. J VascSurg 1984;1:732—3.
16. Welsh P., Pradier R., Repetto R. Fibromuscular dysplasia of the distal cervical internal carotid artery. J CardiovascSurg 1981; 22:321—6.
17. WHO. Annual report on epidemiology of cerebrovascular diseases. Geneva. 1999.
Review
For citations:
Dalibaldyan V.A., Luk’yanchikov V.A., Shalumov A.Z., Polunina N.A., Tokarev A.S., Shatokhina Yu.I., Stepanov V.N. THE TEMPORARY MANDIBLE SUBLUXATION DURING SURGICAL TREATMENT OF HIGH-LEVEL ATHEROSCLEROTIC DAMAGES OF EXTRACRANIAL PART OF INTERNAL CAROTID ARTERY. Russian journal of neurosurgery. 2016;(1):60-67. (In Russ.)
Views:
845
Email this article 