Classification evaluates risk of internal carotid artery injury in upper cervical surgery, suggesting a standard for preoperative assessment.
Aberrations in the course of the ICA at the upper cervical level are relatively common, presenting a potential risk of ICA injury during the transoral approach for upper cervical surgery. Therefore, our classification of ICA aberrations based on CTA should be considered a standard component of preoperative evaluation.
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Shen et al. (2025) studied this question.
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