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Spontaneous Late Carotid-Cutaneous Fistula Following Radical Neck Dissection

A Case Report

Charles Carmeci, MD

Ronald L. Dalman, MD

W. Anthony Lee, MD

Division of Vascular Surgery, Stanford University School of Medicine and Palo Alto Veterans Administration Hospital, Stanford, CA

The authors present an unusual case of a spontaneous carotid-cutaneous fistula occurring as a late complication 4 years after radical neck dissection and postoperative radiation therapy for tonsillar squamous cell carcinoma in a 50-year-old patient. The etiologic factors predisposing patients to carotid artery rupture following radical neck dissection and a surgical option for carotid artery reconstruction instead of ligation are discussed.

Vascular and Endovascular Surgery, Vol. 35, No. 5, 409-413 (2001)
DOI: 10.1177/153857440103500513


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