Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension
| Autor: | M. Carmo, Fernanda Settembrini, Giorgio Prouse, Federico Biglioli, Daniela Mazzaccaro, Piergiorgio Settembrini |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Mandibular Osteotomy Carotid Body Tumor Mandibular osteotomy Injections Lesion Preoperative embolization Cervical approach Carotid Body Tumors medicine Humans Neoplasm Invasiveness Double osteotomy Skull Base business.industry Middle Aged Carotid Body Paraganglioma Embolization Therapeutic Surgery Skull medicine.anatomical_structure Treatment Outcome Polyvinyl Alcohol Female medicine.symptom business Tomography X-Ray Computed Cardiology and Cardiovascular Medicine |
| Zdroj: | Journal of Vascular Surgery. 58(2):486-490 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2012.11.086 |
| Popis: | We report two patients with a carotid body paraganglioma that extended to the skull base, a position that is surgically inaccessible by means of a traditional lateral cervical approach. In both patients we were able to remove the lesion by performing a double mandibular osteotomy. Both patients underwent preoperative embolization to reduce the mass. In our experience, this approach has allowed a safe radical excision of exceptionally high lesions with only minor permanent nerve damage. In our opinion this advantage definitely outweighs the consequences of the increased invasiveness of this technique. |
| Databáze: | OpenAIRE |
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