Carotid Artery Resection and Bypass for Malignant Fibrous Histiocytoma of the Head and Neck

ABSTRACT

Malignant fibrous histiocytoma (MFH) is recognized as the most common soft tissue sarcoma in adult. But it is very rare in head and neck region with less than 100 cases reported in literature. Treatment of choice for MFH is surgery. For wide surgical excision, usually carotid artery resection is unavoidable. For preventing neurologic sequelae we did preoperative carotid artery balloon occlusion test with EEG monitoring. Greater saphenous vein was used for interposition graft.