{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:16:53Z","timestamp":1778141813733,"version":"3.51.4"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:00:00Z","timestamp":1770681600000},"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":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S002221512610440X_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study focuses on early recognition of carotid blowout syndrome type 1 (threatened artery) and the results of integrity restoration of the surrounding tissue by a pectoralis major myofascial flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S002221512610440X_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included all patients in the period 2010\u20132020 with carotid blowout syndrome type 1 of the common or internal carotid artery, treated by pectoralis major myofascial flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S002221512610440X_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen patients with carotid blowout syndrome type 1 were included, all but one after previous radiotherapy with a total dose up to 136 Gray (range 46\u2013136). Median time from diagnosis till treatment was 1 day. None of the patients progressed to actual bleeding (type 2 or 3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S002221512610440X_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Carotid blowout syndrome type 1 should be early recognised and treated by insertion of a pectoralis major myofascial flap that protects the common or internal carotid artery and might prevent progression to a potentially fatal bleed. In our opinion, this policy should be part of the algorithmic approach of this complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s002221512610440x","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T08:28:48Z","timestamp":1770712128000},"page":"444-450","source":"Crossref","is-referenced-by-count":0,"title":["An algorithmic addition for Carotid Blowout Syndrome type 1"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4908-2815","authenticated-orcid":false,"given":"Roel","family":"Henneman","sequence":"first","affiliation":[{"name":"Netherlands Cancer Institute\/Antoni van Leeuwenhoek"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abrahim","family":"Al-Mamgani","sequence":"additional","affiliation":[{"name":"Netherlands Cancer Institute\/Antoni van Leeuwenhoek"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Lohuis","sequence":"additional","affiliation":[{"name":"Netherlands Cancer Institute\/Antoni van Leeuwenhoek"},{"name":"Amsterdam University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfons","family":"Balm","sequence":"additional","affiliation":[{"name":"Netherlands Cancer Institute\/Antoni van Leeuwenhoek"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"S002221512610440X_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2011.01.004"},{"key":"S002221512610440X_ref16","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.R100038200"},{"key":"S002221512610440X_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.12.047"},{"key":"S002221512610440X_ref23","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3716"},{"key":"S002221512610440X_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2024.110502"},{"key":"S002221512610440X_ref5","doi-asserted-by":"publisher","DOI":"10.1186\/1748-717X-8-242"},{"key":"S002221512610440X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.04.056"},{"key":"S002221512610440X_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2022.12.010"},{"key":"S002221512610440X_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2017.06.012"},{"key":"S002221512610440X_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/hed.24248"},{"key":"S002221512610440X_ref12","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0589"},{"key":"S002221512610440X_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/000348941011900709"},{"key":"S002221512610440X_ref18","first-page":"323","article-title":"Free muscle transfer with split thickness skin graft coverage in head and neck reconstructive surgery","volume":"17","author":"Bos","year":"1991","journal-title":"Eur J Surg Oncol"},{"key":"S002221512610440X_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23590"},{"key":"S002221512610440X_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2013.05.005"},{"key":"S002221512610440X_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2010.08.029"},{"key":"S002221512610440X_ref17","doi-asserted-by":"publisher","DOI":"10.3390\/ijms24032936"},{"key":"S002221512610440X_ref21","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199510000-00015"},{"key":"S002221512610440X_ref2","doi-asserted-by":"publisher","DOI":"10.2147\/CMAR.S180164"},{"key":"S002221512610440X_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2015.02.021"},{"key":"S002221512610440X_ref1","first-page":"843","article-title":"Endovascular therapy for the carotid blowout syndrome in head and neck surgical patients: diagnostic and managerial considerations","volume":"17","author":"Chaloupka","year":"1996","journal-title":"AJNR Am J Neuroradiol"},{"key":"S002221512610440X_ref25","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2012.9604"},{"key":"S002221512610440X_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21868"},{"key":"S002221512610440X_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200404000-00010"},{"key":"S002221512610440X_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-012-1058-0"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221512610440X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:04:29Z","timestamp":1778141069000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221512610440X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,10]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S002221512610440X"],"URL":"https:\/\/doi.org\/10.1017\/s002221512610440x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,10]]}}}