A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy

İlker Kiriş; Şenol Gülmen; Emre Doğan; Hüseyin Okutan

TR EN

KAROTİS ENDARTEREKTOMİ SIRASINDA ‘Y’ ŞEKLİNDE PATCHPLASTİ YAPILAN VE ATİPİK YERLEŞİMLİ HİPOGLOSSUS SİNİRİNE CERRAHİ TRAVMANIN ÖNLENDİĞİ BİR OLGU

Abstract

Beş yıl önce sol karotis endarterektomi operasyonu yapılmış olan altmış yedi yaşında erkek hasta başdönmesi yakınması ile kliniğimize başvurdu. Doppler ultrasonografi ve intraarteriyel digital substractedanjiyografi sağ internal karotis arterde %90 darlığı açığa çıkardı. Sağ karotis endarterektomioperasyonu sırasında common, eksternal ve internal karotis artere ulaşıldığında, nervushipoglossusun beklenen anatomik lokalizasyonundan daha aşağıda olduğu ve bulbus karotisiçaprazladığı görüldü. Atipik yerleşimli nervus hipoglossus korunarak common karotis arterdearteriyotomi yapıldı. Arteriyotomi distale doğru ilerletildiğinde yoğun aterosklerotik plağın hem internalhem de eksternal karotis artere uzandığı tespit edildi. Common karotis arterden başlatılan arteriyotomive endarterektomi planı hem eksternal hem de internal karotis artere uzatıldı. Y şeklindeki ince duvarlıbir polytetrafluoroethylene yama hazırlandı. Yamanın proksimal ucu common karotis artere, distaldekiuçları da eksternal ve internal karotis arterlere dikilerek patch plasti tamamlandı. Hasta onuncu ayındasorunsuz izlenmektedir.

Keywords

Karotis endarterektomi, nervus hipoglossus.

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

İlker Kiriş This is me

Şenol Gülmen This is me

Emre Doğan This is me

Hüseyin Okutan This is me

Publication Date

April 1, 2009

Submission Date

April 1, 2009

Acceptance Date

-

Published in Issue

Year 2009 Number: 1

IZ

https://izlik.org/JA92DH27CN

Cite

RIS / Bibtex

APA

Kiriş, İ., Gülmen, Ş., Doğan, E., & Okutan, H. (2009). A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy. Pamukkale Medical Journal, 1, 31-34. https://izlik.org/JA92DH27CN

AMA

1.Kiriş İ, Gülmen Ş, Doğan E, Okutan H. A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy. Pam Med J. 2009;(1):31-34. https://izlik.org/JA92DH27CN

Chicago

Kiriş, İlker, Şenol Gülmen, Emre Doğan, and Hüseyin Okutan. 2009. “A Case in Whom Y-Shaped Patchplasty Was Done and Surgical Trauma to Atypically Placed Nervus Hypoglossus Was Avoided During Carotid Endarterectomy”. Pamukkale Medical Journal, no. 1: 31-34. https://izlik.org/JA92DH27CN.

EndNote

Kiriş İ, Gülmen Ş, Doğan E, Okutan H (April 1, 2009) A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy. Pamukkale Medical Journal 1 31–34.

IEEE

[1]İ. Kiriş, Ş. Gülmen, E. Doğan, and H. Okutan, “A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy”, Pam Med J, no. 1, pp. 31–34, Apr. 2009, [Online]. Available: https://izlik.org/JA92DH27CN

ISNAD

Kiriş, İlker - Gülmen, Şenol - Doğan, Emre - Okutan, Hüseyin. “A Case in Whom Y-Shaped Patchplasty Was Done and Surgical Trauma to Atypically Placed Nervus Hypoglossus Was Avoided During Carotid Endarterectomy”. Pamukkale Medical Journal. 1 (April 1, 2009): 31-34. https://izlik.org/JA92DH27CN.

JAMA

1.Kiriş İ, Gülmen Ş, Doğan E, Okutan H. A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy. Pam Med J. 2009;:31–34.

MLA

Kiriş, İlker, et al. “A Case in Whom Y-Shaped Patchplasty Was Done and Surgical Trauma to Atypically Placed Nervus Hypoglossus Was Avoided During Carotid Endarterectomy”. Pamukkale Medical Journal, no. 1, Apr. 2009, pp. 31-34, https://izlik.org/JA92DH27CN.

Vancouver

1.İlker Kiriş, Şenol Gülmen, Emre Doğan, Hüseyin Okutan. A case in whom y-shaped patchplasty was done and surgical trauma to Atypically placed nervus hypoglossus was avoided during carotid Endarterectomy. Pam Med J [Internet]. 2009 Apr. 1;(1):31-4. Available from: https://izlik.org/JA92DH27CN