Role of Preoperative Embolization in Surgical Treatment of the Carotid Body Paragangliomas
| Autor: | Haydar Murat Yener, Osman Kizilkilic, Harun Cansiz, Emin Karaman, Caglar Eker, Hakkı Caner İnan |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Computed Tomography Angiography Blood Loss Surgical Carotid Body Tumor Young Adult 03 medical and health sciences Preoperative embolization 0302 clinical medicine Preoperative Care medicine Humans 030223 otorhinolaryngology Surgical treatment Aged Retrospective Studies Computed tomography angiography medicine.diagnostic_test business.industry Medical record Retrospective cohort study 030206 dentistry General Medicine Middle Aged Embolization Therapeutic medicine.anatomical_structure Otorhinolaryngology Female Surgery Carotid body Radiology business Magnetic Resonance Angiography |
| Zdroj: | Journal of Craniofacial Surgery. 30:e267-e270 |
| ISSN: | 1049-2275 2011-2017 |
| Popis: | In this study, we aimed to show the benefits of preoperative embolization on surgery of carotid body tumors.This is a retrospective study of the medical records of 20 patients who were operated for carotid body paragangliomas during 2011-2017. Computed tomography angiography (BTA) and/or magnetic resonance angiography (MRA) were performed for the entire patients. Patients were assessed according to the Shamblin classification. All patients were subjected to direct cerebral angiography by the femoral route 24 to 48 hours before the surgery and tumor embolization was performed in the appropriate cases (19 patients). The amount of hemorrhage and transfusion need during surgery has been reported. The ages of the patients ranged from 21 to 66, with an average of 45.65. In 20 patients ascendan pharyngeal artery was found as the main artery of tumor. No complications were seen after the embolization procedure. Tumor sizes ranged from 12 mm to 95 mm diameter (mean: 45, 5 mm). 10 patients (50%) were Shamblin type 1, 6 patients (30%) were Shamblin type 2, 4 patients (20%) were Shamblin type 3. In 5 patients (25%), the nerve (N. vagus or hypoglossus) was sacrificed due to cranial nerve involvement. Vagal and hypoglossal nerve sacrificed together in 4 patients.These patients' tumor sizes were bigger than 70 mm. Only in 1 patient, internal carotid artery injured and reconstructed with saphenous vein graft. Neurological deficit did not develop postoperatively. Bleeding was mean 275 mL (125 mL-700 mL). In conclusion, we believe that preoperative embolization of carotid paraganglioma is an effective procedure that helps surgeon during dissection with minimal blood loss. The embolization is relatively easy procedure without no additional complications. |
| Databáze: | OpenAIRE |
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