Format

Send to

Choose Destination
Head Neck. 2015 Feb;37(2):265-72. doi: 10.1002/hed.23590. Epub 2014 Mar 20.

Carotid blowout in patients with head and neck cancer: associated factors and treatment outcomes.

Author information

1
Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China.

Abstract

BACKGROUND:

The purpose of this study was to investigate factors associated with carotid blowout in the cervical portion of patients with head and neck cancer in a large cohort.

METHODS:

We reviewed patients with head and neck cancer and identified those with carotid blowout. Variables of patients with and without carotid blowout were compared and associated factors were investigated by logistic regression model.

RESULTS:

A total of 2590 patients were included in the final analysis and 102 patients (3.9%) developed carotid blowout in the cervical region. Body mass index (BMI) <22.5 kg/M(2) , primary site in the hypopharynx or oropharynx, open wound in the neck requiring wet dressing, radical neck dissection, and total radiation dose to the neck ≥70 Gy were independent factors associated with carotid blowout.

CONCLUSION:

After completion of treatment in patients with head and neck cancer, carotid blowout was an uncommon complication with catastrophic results. Recognition of associated factors helps physicians to identify those at risk.

KEYWORDS:

carotid blowout; head and neck cancer; irradiation; logistic regression model; radical neck dissection

PMID:
24375817
DOI:
10.1002/hed.23590
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center