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- Title
Evaluating the role of embolization and carotid artery sacrifice and reconstruction in the management of carotid body tumors.
- Authors
Mourad, Moustafa; Saman, Masoud; Stroman, David; Brown, Ryan; Ducic, Yadranko
- Abstract
<bold>Objectives/hypothesis: </bold>To review the surgical management of carotid body tumors (CBT), outcomes of carotid artery reconstruction, as well as utility of preoperative embolization.<bold>Study Design: </bold>Retrospective chart review.<bold>Methods: </bold>A single-surgeon case series with chart review was performed of all cases between 1997 and 2014 at a single institution. Tumor classification, major neurovascular resection, requirement for in-line carotid artery reconstruction, intraoperative blood loss, and operative time, and postoperative neurovascular complications were determined.<bold>Results: </bold>In all, 96 patients with 101 CBTs underwent definitive resection disease. Vascular sacrifice was 2.9% (three) for the internal jugular vein, 8.9% (nine) for the external carotid artery, and 13.8% (14) for the internal carotid artery (ICA). ICA sacrifices were performed with immediate in-line arterial bypass grafting with vascular surgery. Permanent cranial neuropathies occurred in 4.9% (five) of patients, without cerebrovascular events.<bold>Conclusions: </bold>We recommend surgical resection as the primary approach to the management of these CBTs. In lesions involving the ICA, we recommend vein bypass grafting. We found no differences or advantages to preoperative embolization.<bold>Level Of Evidence: </bold>4 Laryngoscope, 126:2282-2287, 2016.
- Subjects
THERAPEUTIC embolization; CAROTID artery diseases; CAROTID body tumors; JUGULAR vein; VASCULAR surgery; CAROTID artery surgery; CAROTID artery injuries; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; PREOPERATIVE care; RESEARCH; SURGICAL complications; EVALUATION research; TREATMENT effectiveness; RETROSPECTIVE studies; PARAGANGLIOMA; SURGICAL blood loss; WOUNDS &; injuries; SURGERY
- Publication
Laryngoscope, 2016, Vol 126, Issue 10, p2282
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.26006