Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (4): 1-18.doi: 10.6040/j.issn.1673-3770.0.2023.500

• Multidisciplinary management of carotid burst syndrome associated with nasopharyngeal carcinoma-Exoert Consensus •     Next Articles

Expert consensus on clinical management recommendations for carotid blowout syndrome secondary to NPC treatment

QIU Qianhui, XIAO Xuping, YANG Qintai, YE Jing, DENG Zeyi, WANG Desheng, TAN Guolin, JIANG weihong,   

  1. LU yongtian, TANG Jun, SHI Zhaohui, DENG Xiaocong, LIU Yibin, WANG Yaowu, DUAN Chuanzhi, DU Dekun, BAI Xiaoxin, CHEN Wenhuo, MO Ligeng, CAI Chuwei, ZENG Peng, HE Xuying, YANG Yimei, ZHAN Zhouyang, CHEN Jianlong, ZHAO Chong, LIN Zhixiong, LI Xianming, LI Shuping, CHEN Dongping, CHEN Yong, HUANG Ying, CHEN Chunyan, HAN Fei, HUANG Lijin, QU Shenhong(Attached by the expert unit
  • Online:2025-07-20 Published:2025-08-11

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Abstract: Carotid Blowout Syndrome(CBS)refers to rupture of the carotid artery and/or its branches. CBS is a life-threatening complication of head and neck cancer after radiotherapy. Because radiotherapy is the first-line treatment for nasopharyngeal carcinoma, radiation-induced necrosis and tumor recurrence increase patient risk of experiencing CBS. The high mortality and morbidity of CBS after nasopharyngeal carcinoma radiotherapy poses a great challenge for clinicians. To enhance understanding and develop standards for application of CBS management, we organized an expert consensus on a comprehensive management strategy for nasopharyngeal carcinoma-related CBS, based on domestic and international guidelines and relevant literature. Emergency processing, a comprehensive management strategy, and a clinical nursing and prevention program are presented in detail in this consensus, which aims to provide a theoretical basis and clinical recommendations for more effective treatment of nasopharyngeal carcinoma-related CBS based on pathogenesis mechanism, predisposing factors, and characteristics of imaging during examination.

Key words: Carotid blowout syndrome, Nasopharyngeal carcinoma, Radiotherapy

CLC Number: 

  • R739.63
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