Surgical treatment of carotid body tumour and postoperative complications
10.3760/cma.j.issn.1007-631X.2011.07.013
- VernacularTitle:颈动脉体瘤的外科治疗及并发症
- Author:
Tong QIAO
;
Changjian LIU
;
Chen LIU
;
Dian HUANG
;
Wei WANG
;
Feng RAN
;
Ming ZHANG
;
Min ZHOU
- Publication Type:Journal Article
- Keywords:
Carotid body tumor;
Vascular surgical procedures;
Postoperative complications
- From:
Chinese Journal of General Surgery
2011;26(7):570-572
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the experience in the diagnosis, treatment, complications and follow up of carotid body tumor. Methods All the 25 cases were diagnosised by DSA and CTA. The tumor was resected under carotid adventitial plane in 18 cases, with external carotid artery resection in 4cases, and in 3 cases, internal carotid artery (ICA) and external carotid artery (ECA) were resected simultaneously in which internal carotid artery was reconstructed in two cases including using self vein bypass in one and anastomosis between ICA and ECA in the other. ICA was ligated in the third case. Results No cases died perioperatively. ALL CBTs were treated successfully. Horner syndrome and trachyphonia were relieved after operation. Postoperative trachyphonia, bucking and lingual paralysis developed in 3 cases, and in one case with vagus resection caused dyspnea tracheotomy was performed. The rate of nerves injuries was 12% but no semiplegia and aphasia occurred. Follow up period was from 4 to 90 months (average 44 ±6 months) for 21 cases. The trachyphonia and bucking were improved during follow up but the lingual paralysis persists, and tumor recurred in two cases with one dying. Conclusions CBT treatment should include active surgery, sufficient preoperative preparation and avoiding the postoperative nervous complications.
