{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T12:46:20Z","timestamp":1771073180408,"version":"3.50.1"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121000049_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To highlight the importance of imaging in reducing an accidental injury to the anomalous brachiocephalic trunk and its branches during tracheal surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000049_sec_a2\"><jats:title>Case report<\/jats:title><jats:p>This paper reports two cases of accidental injury to the great vessels in the neck during tracheal surgery. The first incident occurred during a repeat tracheostomy, when the right common carotid artery was injured. On reviewing the computed tomography images, the bifurcation of the brachiocephalic artery was seen to the left of the midline, and the right common carotid artery was adherent just below the tracheostomy site. The second incident happened during surgery for tracheal stenosis, when there was an inadvertent injury to the main brachiocephalic trunk, which was adherent to the trachea in the lower neck region.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000049_sec_a3\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>For airway surgeons, radiological assessment of vascular structures in relation to the trachea prior to surgery is as important as the endoluminal airway assessment for the best outcome.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121000049","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T08:20:32Z","timestamp":1611562832000},"page":"185-188","source":"Crossref","is-referenced-by-count":2,"title":["Anomalous innominate artery complicating tracheal surgical procedures"],"prefix":"10.1017","volume":"135","author":[{"given":"J J E","family":"Sargunaraj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R R","family":"Paul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S S","family":"Mathews","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R R A","family":"Albert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"S0022215121000049_ref4","first-page":"273","article-title":"Tracheotomy-related deaths","volume":"114","author":"Klemm","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"S0022215121000049_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2002.2520_23.x"},{"key":"S0022215121000049_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.07.013"},{"key":"S0022215121000049_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.08.044"},{"key":"S0022215121000049_ref2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-3003.1999.13d32.x"},{"key":"S0022215121000049_ref9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1002\/ca.20884","article-title":"Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: a computed tomography-based study and literature review of innominate artery compression syndrome","volume":"23","author":"Fawcett","year":"2010","journal-title":"Clin Anat"},{"key":"S0022215121000049_ref5","doi-asserted-by":"publisher","DOI":"10.1308\/147870807X238258"},{"key":"S0022215121000049_ref13","first-page":"1541","article-title":"Bovine aortic arch variant in humans: clarification of a common misnomer","volume":"27","author":"Layton","year":"2006","journal-title":"Am J Neuroradiol"},{"key":"S0022215121000049_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196512000-00006"},{"key":"S0022215121000049_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-213910"},{"key":"S0022215121000049_ref16","first-page":"175","article-title":"Anatomical variations associated with the carotid arterial system in the neck","volume":"12","author":"Shankar","year":"2008","journal-title":"Eur J Anat"},{"key":"S0022215121000049_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-006-1327-y"},{"key":"S0022215121000049_ref11","first-page":"969728","article-title":"Variations in the branching pattern of the aortic arch detected with computerized tomography angiography","author":"Lale","year":"2014","journal-title":"Adv Radiol"},{"key":"S0022215121000049_ref7","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.03.01"},{"key":"S0022215121000049_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65137-5"},{"key":"S0022215121000049_ref12","doi-asserted-by":"publisher","DOI":"10.4067\/S0717-95022009000200046"},{"key":"S0022215121000049_ref10","first-page":"74","article-title":"Dangerous course of the brachiocephalic trunk and variations of arteries in the cervical region \u2013 a cadaveric case report","volume":"16","author":"Namita","year":"2020","journal-title":"Eur J Anat"}],"container-title":["The Journal of Laryngology &amp; 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