Open Access
Preoperative localization of the carotid bifurcation for cervical carotid exposure using the mastoid-hyoid line
Author(s) -
Somkiat Wongsuriyanan,
Kitiporn Sriamornrattanakul
Publication year - 2020
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_285_20
Subject(s) - medicine , internal carotid artery , hyoid bone , carotid bifurcation , carotid arteries , common carotid artery , radiology , anatomy , nuclear medicine , surgery
The location of the carotid bifurcation (CB) is highly variable, which makes precise exposure of the cervical carotid artery difficult, especially in transverse incisions. The method for preoperative localization of the CB is not well established. We used the distance from the mastoid-hyoid (M-H) line to the CB, measured preoperatively with computed tomography angiography, to localize the location of the transverse skin incision. We describe and evaluate the accuracy of a method for preoperative localization of the CB for cervical carotid exposure.