A retrospective study in management of carotid body tumour

Abstract We report our experience of the management of 53 patients with 57 carotid body tumours from two units of oral and maxillofacial surgery in China between 1995 and 2006. Digital subtraction angiography was used most often for the confirmation of diagnosis and preoperative assessment. Fifty-on...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2009-09, Vol.47 (6), p.461-465
Main Authors: Ma, Dongyang, Liu, Lanzhong, Yao, Hong, Hu, Yongjie, Ji, Tong, Liu, Xiacheng, Zhang, Chenping, Qiu, Weiliu
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Angiography, Digital Subtraction
Biological and medical sciences
Carotid Artery, External - surgery
Carotid Artery, Internal - surgery
Carotid Body Tumor - diagnostic imaging
Carotid Body Tumor - radiotherapy
Carotid Body Tumor - surgery
Carotid body tumour
Child
Collateral Circulation
Cranial Nerve Injuries - etiology
Dentistry
Digital subtraction angiography
Female
Humans
Male
Medical sciences
Middle Aged
Otorhinolaryngology. Stomatology
Retrospective Studies
Stroke - etiology
Surgery
Treatment Outcome
Vascular reconstruction
Vascular Surgical Procedures - adverse effects
Vascular Surgical Procedures - methods
Young Adult
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Summary:Abstract We report our experience of the management of 53 patients with 57 carotid body tumours from two units of oral and maxillofacial surgery in China between 1995 and 2006. Digital subtraction angiography was used most often for the confirmation of diagnosis and preoperative assessment. Fifty-one patients with 55 tumours had their tumours resected and 2 patients had radiotherapy. Of the 55 excised tumours, 14 were resected successfully without injury to the carotid artery, 25 were resected with the external carotid artery, 5 had arteriorrhaphy, and 11 resulted in sacrificing the unilateral internal carotid artery (ICA). Six patients had interposition reconstruction of the ICA. Immediately after operation 14 patients (27%) had neurological damage, which was permanent in 3 (6%), and 2 (4%) developed stroke. There were no deaths. Once the ICA is resected, vascular reconstruction is recommended to minimise neurological morbidity.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2009.06.006