PRACTICA OTO-RHINO-LARYNGOLOGICA

Vol. 99  No. 9  September 2006

A Study of 8 Cases Undergoing Ligation of the 
External Carotid Artery in our Department

Ayako Furuya, Yoshihiro Yamada, Hitoshi Kikuchi, 
Tomoko Sugiuchi and Naohiko Watanabe
(Kanto Rosai Hospital)

     We have experienced 8 cases undergoing ligation of the external carotid artery in the past 8 years (1998-2005), and this is a report of our findings. Surgery was performed under general anesthesia. After confirming the furcation of the common carotid artery, the external carotid artery was identified from the bifurcation of the superior thyroid artery and then double ligation was performed between the lingual artery and superior thyroid artery. This technique was effective without complications in 6 cases for which it was thought to be indicated, but it was not effective in 2 cases for which it was not indicated. One case had Osler disease and the other had a cutaneous invasion of nasal cavity carcinoma. Both cases had a focus extending bilaterally, so ligation of the external carotid artery was not indicated.
The surgical technique poses no problem if the physician is an otorhinolaryngologist, and its effectiveness is considered high if the indication is certain. The advantage of this technique is that a surgeon can perform it as the occasion demands.

Key words: ligation, external carotid artery, indication

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