Carotid body tumor surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
*Surgery is the | |||
*Surgery is the treatment of choice for [[carotid body]] [[tumor]].<ref name="pmid23610583">{{cite journal |vauthors=Luo T, Zhang C, Ning YC, Gu YQ, Li JX, Wang ZG |title=Surgical treatment of carotid body tumor: case report and literature review |journal=J Geriatr Cardiol |volume=10 |issue=1 |pages=116–8 |date=March 2013 |pmid=23610583 |pmc=3627704 |doi=10.3969/j.issn.1671-5411.2013.01.018 |url=}}</ref> | |||
**Surgical approach of the tumor is different for each Shamblin subclassification: | |||
***For Shamblin type I/II case without an abundant blood supply, simple resection of the tumor is the optimal treatment. | |||
***For Shamblin type III cases with large tumors and malignant tumors involving important peripheral vessels resection and reconstructive vascular operation (including simple vascular anastomosis, internal carotid artery-common carotid artery artificial and autologous reconstructive vascular operation) is appropriate. | |||
==Contraindications== | ==Contraindications== | ||
Revision as of 17:56, 10 April 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]
Overview
Surgery is the mainstay of treatment for the carotid body tumor.
Surgery
- Surgery is the treatment of choice for carotid body tumor.[1]
- Surgical approach of the tumor is different for each Shamblin subclassification:
- For Shamblin type I/II case without an abundant blood supply, simple resection of the tumor is the optimal treatment.
- For Shamblin type III cases with large tumors and malignant tumors involving important peripheral vessels resection and reconstructive vascular operation (including simple vascular anastomosis, internal carotid artery-common carotid artery artificial and autologous reconstructive vascular operation) is appropriate.
- Surgical approach of the tumor is different for each Shamblin subclassification:
Contraindications
- Individual who are poor candidates of surgery due to any reason.[2]
Complications of surgery
- Surgical excision of the tumor may be complicated by:
- Cranial nerve involvement in 10% to 56% of the cases.
- The most commonly involved nerves are such as:
- The hypoglossal nerve
- The superior laryngeal nerve
- The vagus nerve,
- The mandibular branch of the facial nerve
- The pharyngeal branch of the vagus nerve
- The glossopharyngeal nerve
- The spinal accessory nerve
- The sympathetic chain
References
- ↑ Luo T, Zhang C, Ning YC, Gu YQ, Li JX, Wang ZG (March 2013). "Surgical treatment of carotid body tumor: case report and literature review". J Geriatr Cardiol. 10 (1): 116–8. doi:10.3969/j.issn.1671-5411.2013.01.018. PMC 3627704. PMID 23610583.
- ↑ Eisele, David (2008). Complications in head and neck surgery. Edinburgh: Saunders. ISBN 978-1-4160-4220-4.