To discuss the possibility of resection of the carotid artery involved with head and neck cancer without reconstruction. 5 cases of tumor fixed to segment of the carotid artery block were resected, among them 4 without reconstruction and only 1 artery anastomosed. None of them experienced cerebrovascular complications. 3 cases survived two years long, and 2 is now under follow-up. The selective resection of the carotid artery without reconstruction was practical if well prepared.