1态INTRODUCTION
Tumor encasement of the common carotid artery (CCA) and/or the internal carotid artery (ICA) in patients with advanced head and neck tumors represents a significant surgical challenge. The 5-year survival rate is about 5%-13%1 partly due to risks of stroke or carotid blowout syndrome (CBS).Previous approaches to the prevention of CBS (e.g., surgical ligation, endovascular embolization, covered stent implantation) were palliative and most reports did not further solve the tumor burden2-4.Simple surgical management, e.g., peeling the tumor off the carotid wall, resection with ligation of the carotid artery, resection with or without revascularization, results in non R0 resection or intraoperative and postoperative complications, even the difficulty of the operation is a significant challenge for the surgeon1,5-6.Therefore, we report our experience with combination of oncologic complete tumor resection and intravascular covered stent placement in patients with advanced head neck cancer.