Neurovascular complications following carotid body paraganglioma resection
| Autor: | J L Magne, E. Lamblin, Ihab Atallah, E. Reyt, Christian Righini, Sébastien Schmerber |
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| Přispěvatelé: | Centre Hospitalier Universitaire [Grenoble] (CHU), University Department of Otorhinolaryngology, Grenoble Hospital, Grenoble, France., Université Joseph Fourier - Grenoble 1 (UJF), Institute for Advanced Biosciences / Institut pour l'Avancée des Biosciences (Grenoble) (IAB), Centre Hospitalier Universitaire [Grenoble] (CHU)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang - Auvergne-Rhône-Alpes (EFS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]), Gestes Medico-chirurgicaux Assistés par Ordinateur (TIMC-IMAG-GMCAO), Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG), Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019])-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS)-Université Grenoble Alpes [2016-2019] (UGA [2016-2019]) |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Neoplasm Residual [SDV]Life Sciences [q-bio] Neurovascular complications Carotid Body Tumor Shamblin classification Resection 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Retrospective Studies Tumor size business.industry Carotid body paraganglioma Retrospective cohort study Consecutive case series Middle Aged Neurovascular bundle Carotid Body Paraganglioma Cranial Nerve Diseases 3. Good health Peripheral Surgery medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Disease Progression Female Carotid body Radiology business Follow-Up Studies |
| Zdroj: | European Annals of Otorhinolaryngology, Head and Neck Diseases European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2016, 133 (5), pp.319-324. ⟨10.1016/j.anorl.2016.05.006⟩ |
| ISSN: | 1879-7296 1879-730X |
| DOI: | 10.1016/j.anorl.2016.05.006 |
| Popis: | International audience; The present consecutive case series reports our experience in the management of carotid body paraganglioma and aims to assess whether the Shamblin classification or tumor size are predictive of early and late postoperative neurovascular complications.MATERIAL AND METHODS:A retrospective study included 54 carotid body tumor resections in 49 patients, between 1980 and 2011. Data comprised early (3.2cm emerged as predictive factors for early postoperative peripheral neurological complications. Eight patients (17%) showed no cranial nerve deficit recovery, even after 18 months' follow-up; no predictive factors could be identified for this.CONCLUSION:Surgical resection remains the only curative treatment in carotid body paraganglioma, with low vascular morbidity. However, early postoperative nerve deficit remains frequent (56%), although mostly temporary, with 17% definitive sequelae at 18 months. Tumor size and Shamblin classification are predictive of early neurovascular complications. |
| Databáze: | OpenAIRE |
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