Key Points:
•
This
approach could potentially achieve the maximal oncological resection
without compromise of carotid artery blood flow.
•This approach reduces the incidence of potential risk of
cerebrovascular complications.
• This approach may be more beneficial in cases with less optimal
condition for vascular reconstruction, or the potential of R0 tumor
resection.
•
This
approach could still be used to complete tumor resection without the
possibility of major blow-out risk in some cases of recurrence after
radiotherapy.
• The pedicled pectoralis major musculocutaneous flap was used to repair
the defect, which not only protected the exposed carotid artery, but
also provided rich vascularity.