Carotid Body Tumors: The Role of Preoperative Embolization

Kafie, Fernando E.; Freischlag, Julie A.

doi:10.1007/s100160010058

Cited by 82 publications

(61 citation statements)

References 12 publications

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“…4 It is stimulated by hypoxia, hypercapnoea and acidosis and in response, controls the BP, HR and respiration by increasing the sympathetic flow. 5 Chronic hypoxemia-sustained/intermittent stimulates hyperplasia of the gland. 6 It receives blood supply predominantly from ascending pharyngeal artery (branch of ECA) and is innervated by glossopharyngeal and vagus nerves.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

et al. 2015

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“…Malignant transformation is seen in 10 %, familial in 10 %, and bilateral in 10 % of sporadic cases where bilaterality may reach 30 % in the familial cases [18,28].…”

Section: Discussionmentioning

confidence: 99%

“…Supraselective feeder vessel embolization from the internal carotid or external carotid arteries are difficult because of the very short feeders [46,47]. Complete obliteration of all tumor vascularity is not essential in reducing size and vascularity and surgical excision should be performed in 48 h to minimize revascularization edema or a local inflammatory response [28]. Albsoul reported lesser nerve damage in embolized cases compared to non embolised [20].…”

Section: Discussionmentioning

confidence: 99%

Paragangliomas of the Carotid Body: Current Management Protocols and Review of Literature

Naik

Shenoy

Nanjundappa

et al. 2013

Indian J Surg Oncol

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Paraganglioma is a rare neoplasm arising from carotid body usually benign and constitute 0.5 % of all total body tumors. They constitute 60-70 % of head and neck paraganglioma and resemble other paragangliomas of the body like glomus jugulare, glomus tympanicum, and pheochromocytoma. This is a retrospective analysis of the medical records of carotid body paraganglioma cases. Nine patients operated during the study period and the follow up traced were included in the study. Seven females and 2 males were analysed. Six had tumor on the left side and 3 had on the right side. All the cases surgical excision was done by a tranverse incision as 2 patients had Shamblin I, 5 patients had Shamblin II, and 1 patients Shamblin IIIa. All the Shamblin I had tumor away from the carotids and were easily dissected without vessel damage, a sub adventitial tumor excision was performed in all the 5 cases of Shamblin II, 1 case of Shamblin IIIa was dissected with difficulty without sacrificing or vessel reconstruction. Paraganglioma of the carotid body should be considered as a differential diagnosis for painless lateral neck masses. Larger tumors need a multidisciplinary team of head and neck with vascular surgeons for better results.

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“…Carotid DSA, through percutaneous femoral catheterization, remains an invaluable diagnostic procedure for defining the exact vascular anatomy of the neoplasm. It provides an arterial "map" of the major feeding and the collateral vasculature supplying the tumor (Kafie and Freischlag, 2001). Later phases of the arteriogram visualize the venous outflow.…”

Section: Discussionmentioning

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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Carotid Body Tumors: The Role of Preoperative Embolization

Cited by 82 publications

References 12 publications

Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

Anaesthetic challenges in carotid body tumour resection: a case report and review of literature

Paragangliomas of the Carotid Body: Current Management Protocols and Review of Literature

Our Experience with Carotid Body Paragangliomas

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