1989 Volume 15 Issue 2 Pages 58-60
Total or segmental agenesis of the internal carotid artery is a rare anomaly. Cervical portion of the internal carotid artery was abscent in the right side of the patient who underwent radical surgery due to recurrent oropharyngeal cancer. Postoperative venous digital subtraction angiography revealed that the remaining intracranial portion of the internal carotid artery was normally patent and supplied blood flow via ipsilateral external carotid artery. Head and neck surgeon should be aware of such a vasucular anomaly to avoid a disastrous result caused by ligation of the extrenal carotid artery.