Surgical Management of Carotid Body Tumors

Wang, Steven J.; Wang, Marilene B.; Barauskas, Tanya M.; Calcaterra, Thomas C.

doi:10.1067/mhn.2000.106709

Cited by 129 publications

(199 citation statements)

References 18 publications

(34 reference statements)

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“…Clinical diagnosis of CBT is usually confirmed with duplex ultrasound, CT, MRI and rarely conventional angiography [3,13]. As our patient reported with HPE report of the tumor and CT scan with contrast no further investigation was done considering the poor financial background and unaffordability.…”

Section: Discussionmentioning

confidence: 84%

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Surgical Excision of Carotid Body Tumor Through Modified Approach–A Case Report

Prabakaran¹,

Subburayulu²,

Ravikumar

2015

J. Maxillofac. Oral Surg.

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Paragangliomas arising from the carotid body in the carotid bifurcation are termed as carotid body tumors. They are usually slow growing and asymptomatic. Considering the anatomical location, invasion or pressure on the adjacent vascular and neural tissues, the importance of early diagnosis and management is critical. In this article a case of carotid body tumor excised through transverse neck skin crease incision is presented along with literature review on the diagnosis, grading and different surgical approaches.

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Section: Discussionmentioning

confidence: 84%

“…Malignancy is determined by the detection of metastasis in local lymph nodes or remote organs such as lungs, bones, liver, pancreas, thyroid, breast and thorax rather than by the histological criteria or development of malignancy in neoplasm. The incidence of local or distant metastasis is less than 10 % [13,28].…”

Section: Discussionmentioning

confidence: 99%

Surgical Excision of Carotid Body Tumor Through Modified Approach–A Case Report

Prabakaran¹,

Subburayulu²,

Ravikumar

2015

J. Maxillofac. Oral Surg.

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“…The absence of postembolization neurological complications indicates the safety and efficacy of this technique in experienced hands. Today, most authors support the embolization of CBPs and VPs (Miller et al, 2000;Wang et al, 2000;Persky et al, 2002) but this item is still a matter of discussion in international otolaryngological literature (Murphy and Brackmann, 1989;Litle et al, 1996;Marchesi et al, 1999). Metabolic imaging procedures such as the somatostatin receptor scintigraphy are only available at special centres.…”

Section: Discussionmentioning

confidence: 99%

“…Physical examination of CBP reveals a nontender, rubbery, pulsatile lesion that is more easily moved laterally than vertically (Fontaine's sign). Due to the highly vascular nature of paragangliomas, an open or closed biopsy should not be attempted (Wang et al, 2000). In order to establish the diagnosis of a HNP, imaging modalities such as ultrasonography, computerized tomography (CT), magnetic resonance imaging (MRI) and digital subtraction angiography (DSA) are important (Stoeckli et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Our Experience with Carotid Body Paragangliomas

et al. 2012

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R e c e i ve d M a rc h 1 2 , 2 0 1 2 ; A c c e p t e d O c t o b e r 1 0 , 2 0 1 2 . Key words: Carotid body paraganglioma -Shamblin classification -TreatmentAbstract: Carotid body paragangliomas (CBP) are rare neoplasms arising from the small chemoreceptor organ in the adventitia of the common carotid bifurcation. The aim of this study is to present the diagnostic process, performed treatment and obtained results in patients with carotid body paragangliomas of the Department of Otolaryngology of Istanbul Education and Research Hospital between March 1997 and November 2008. Retrospective analysis was carried out, based on the medical documentation of 5 patients with carotid body paragangliomas (3 women and 2 men), age range 44 to 68 years with a mean of 59.6 years. Four of the patients were diagnosed and treated with Shamblin type II tumor, one of the patients with type I. Physical examination, radiological evaluation, method of the treatment and post-treatment complications were studied. The most common and single symptom was nonspecific neck mass. Preoperative diagnostic evaluation consisted of a color duplex ultrasonography, computerized tomography with contrast enhancement, magnetic resonance imaging and digital subtraction angiography. In all patients with Shamblin type I and II, blunt dissection of the tumor was conducted smoothly in the subadventitial plane. Postoperative vagus nerve and hypoglossal nerve deficit were reported in one case. Carotid body paraganglioma excision has higher risk of cranial nerve paresis and carotid artery injury, so it requires careful handling and good surgical skills to ensure complete removal.

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“…Radiotherapy is reserved for elderly and those in poor general condition. [16][17][18] Shamblin's tumor classification is based on the size of the tumour and difficulty of surgical resection. 8 Shamblin II/III tumours require more extensive surgery and are more commonly associated with vascular injuries and cranial nerve injuries.…”

Section: -13mentioning

confidence: 99%