EC–IC Bypass for Skull Base Necrosis and ICA Rupture Hemorrhage After Radiotherapy for Nasopharyngeal Carcinoma
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| Natura: | Artículo Open Access |
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Wiley
2025
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| _version_ | 1867017554101272577 |
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| author | Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu |
| author_facet | Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu |
| collection | Wiley Open Access |
| contents | EC–IC Bypass for Skull Base Necrosis and ICA Rupture Hemorrhage After Radiotherapy for Nasopharyngeal Carcinoma Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu Head & Neck ABSTRACTBackgroundSkull base necrosis can cause life‐threatening massive bleeding in patients following radiotherapy and chemotherapy for nasopharyngeal carcinoma. Patients with bilateral internal carotid artery rupture and hemorrhage are especially susceptible, which is a major challenge for clinicians.MethodsA team at the Eye and ENT Hospital affiliated with Fudan University recently successfully treated a patient with skull base necrosis after radiotherapy and chemotherapy for nasopharyngeal carcinoma. The patient experienced bilateral internal carotid artery rupture with massive nasopharyngeal hemorrhage and was treated with extracranial–intracranial bypass surgery, resection of the nasal skull base necrotic lesions, and bilateral internal carotid artery occlusion.ResultsOne week after the last surgery, the patient recovered well, and normal activity was restored.ConclusionsSimultaneous EC–IC bypass and TMF repair increase intracranial blood flow compensation without the need for an additional incision, saving the patient's life and improving their quality of life. These results highlight a promising surgical practice for rescuing patients suffering from skull base necrosis and ICA rupture hemorrhage. 10.1002/hed.28107 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1002/hed.28107 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_hed_28107 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | EC–IC Bypass for Skull Base Necrosis and ICA Rupture Hemorrhage After Radiotherapy for Nasopharyngeal Carcinoma Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu Head & Neck EC–IC Bypass for Skull Base Necrosis and ICA Rupture Hemorrhage After Radiotherapy for Nasopharyngeal Carcinoma Yu Huang Qiang Liu Ye Gu Kai Xue Quan Liu Shixing Zheng Huankang Zhang Wanpeng Li Xiaole Song Han Li Jingjing Wang Weidong Zhao Yuzhen Wang Bo Peng Liang Zeng Huimin Xu Lei Wang Xicai Sun Hongmeng Yu Head & Neck ABSTRACTBackgroundSkull base necrosis can cause life‐threatening massive bleeding in patients following radiotherapy and chemotherapy for nasopharyngeal carcinoma. Patients with bilateral internal carotid artery rupture and hemorrhage are especially susceptible, which is a major challenge for clinicians.MethodsA team at the Eye and ENT Hospital affiliated with Fudan University recently successfully treated a patient with skull base necrosis after radiotherapy and chemotherapy for nasopharyngeal carcinoma. The patient experienced bilateral internal carotid artery rupture with massive nasopharyngeal hemorrhage and was treated with extracranial–intracranial bypass surgery, resection of the nasal skull base necrotic lesions, and bilateral internal carotid artery occlusion.ResultsOne week after the last surgery, the patient recovered well, and normal activity was restored.ConclusionsSimultaneous EC–IC bypass and TMF repair increase intracranial blood flow compensation without the need for an additional incision, saving the patient's life and improving their quality of life. These results highlight a promising surgical practice for rescuing patients suffering from skull base necrosis and ICA rupture hemorrhage. 10.1002/hed.28107 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | EC–IC Bypass for Skull Base Necrosis and ICA Rupture Hemorrhage After Radiotherapy for Nasopharyngeal Carcinoma |
| topic | Head & Neck |
| url | https://onlinelibrary.wiley.com/doi/10.1002/hed.28107 |