ĐÁNH GIÁ KẾT QUẢ MỔ CẤP CỨU THẮT ĐỘNG MẠCH CẢNH NGOÀI TRONG CHẢY MÁU UNG THƯ KHOANG MIỆNG, HẦU HỌNG TẠI BỆNH VIỆN K – CƠ SỞ TAM HIỆP

Abstract

Objective: Clinical and paraclinical characteristics and evaluate the results of emergency surgery for external carotid artery ligation in bleeding from oral cavity and pharyngeal cancer in the study group of patients. Subjects and methods: From 1/2021 to 9/2024, a retrospective and prospective study with longitudinal follow-up was studied on 28 patients with tumor bleeding due to oral cavity and pharyngeal cancer undergoing radical treatment or recurrence at K Hospital. Results: high incidence of the disease in male, average age 46 ± 13, acute tumor bleeding is common in oral cavity and pharyngeal cancer that has locally progressive recurrence, the histopathology is squamous cell carcinoma. After emergency surgery to ligate a or bilateral external carotid artery, 28/28 patients stopped bleeding, 2 patient had a second bleeding after 1 month. Overall survival was 7 months (3-14 months), no complications of bleeding at the surgical site, facial paralysis and hemiplegia. Conclusion: high incidence of the disease in male, average age 46 ± 13, acute tumor bleeding is common in oral cavity and pharyngeal cancer that has locally progressive recurrence, histopathology is squamous cell carcinoma. Tumor bleeding is a common and serious complication in patients with oral cavity and pharyngeal cancer that is being treated or has locally progressive recurrence. External carotid artery ligation is a safe and effective method to control acute bleeding, with no complications of bleeding at the surgical site and nerves.