Surgical Management of Carotid Body Tumor and Risk Factors of Postoperative Cranial Nerve Injury

2020 ◽  
Vol 44 (12) ◽  
pp. 4254-4260
Author(s):  
Xiaolang Jiang ◽  
Gang Fang ◽  
Daqiao Guo ◽  
Xin Xu ◽  
Bin Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Nerve Injury ◽  
Surgical Management ◽  
Carotid Body ◽  
Cranial Nerve ◽  
Carotid Body Tumor ◽  
Cranial Nerve Injury

scholarly journals The effect of preoperative embolization on surgical outcomes for carotid body tumor resection

2021 ◽  
Vol 9 ◽  
pp. 205031212110052
Author(s):  
Robin Osofsky ◽  
Ross Clark ◽  
Jaideep Das Gupta ◽  
Nathan Boyd ◽  
Garth Olson ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Carotid Body ◽  
Surgical Outcomes ◽  
Cranial Nerve ◽  
Operative Time ◽  
Tumor Resection ◽  
Carotid Body Tumor ◽  
Preoperative Embolization ◽  
Estimated Blood Loss ◽  
Cranial Nerve Injury

Objective: Compare the effects of preoperative embolization for carotid body tumor resection on surgical outcomes to carotid body tumor resections without preoperative embolization. Methods: Single-center retrospective review of all consecutive patients who underwent carotid body tumor resection from 2001 to 2019. Surgical outcomes with emphasis on operative time (estimated blood loss and cranial nerve injury) of patients undergoing carotid body tumor resection following preoperative embolization were compared to those undergoing resection alone using unpaired Student’s t-test and Fisher’s exact test. Results: Forty-six patients (15% male, mean age 50 ± 15 years) underwent resection of 49 carotid body tumors. Patients undergoing preoperative embolization ( n = 20 (40%)) had larger mean tumor size (4.0 ± 0.7 vs 3.2 ± 1 cm, p = 0.006), increased Shamblin II/III tumor classification (18 (90%) vs 22 (76%), p < 0.001), operative time (337 ± 195 vs 199 ± 100 min, p = 0.004), and cranial nerve injuries overall (8 (40%) vs 2 (10%), p = 0.01) compared to patients undergoing resection without preoperative embolization ( n = 29 (60%)). In subgroup analysis of Shamblin II/III classification tumors ( n = 40), preoperative embolization ( n = 18) was associated with increased tumor size (4.1 ± 0.6 vs 3.5 ± 0.9 cm, p = 0.01), operative time (351 ± 191 vs 244 ± 105 min, p = 0.02), and cranial nerve injury overall (8 (44%) vs 2 (9%), p = 0.03) compared to resections alone ( n = 19). In further subgroup analysis of large (⩾ 3 cm) tumors ( n = 37), preoperative embolization ( n = 18) was associated with increased operative time (350 ± 191 vs 198 ± 99 min, p = 0.006) and cranial nerve injury overall (8 (44%) vs 2 (11%), p = 0.03) compared to resections alone ( n = 19). There were no significant differences in estimated blood loss, transfusion requirement, or hematoma formation between any of the embolization and non-embolization subgroups. Conclusion: After controlling for tumor Shamblin classification and size, carotid body tumor resections following preoperative embolization were associated with increased operative time and inferior surgical outcomes compared to those tumors undergoing resection alone. Nonetheless, such results remain susceptible to the confounding effects of individual tumor characteristics often used in the decision to perform preoperative embolization, underscoring the need for prospective studies evaluating the utility of preoperative embolization for carotid body tumors.

scholarly journals RR11. Imaging Predictors of Cranial Nerve Injury in Carotid Body Tumor Resections

2012 ◽  
Vol 55 (6) ◽  
pp. 91S-92S ◽  
Author(s):  
Adam H. Power ◽  
Thomas C. Bower ◽  
Terri J. Vrtiska ◽  
Audra A. Duncan ◽  
Manju Kalra ◽  
...  
Keyword(s):  
Nerve Injury ◽  
Carotid Body ◽  
Cranial Nerve ◽  
Carotid Body Tumor ◽  
Cranial Nerve Injury

scholarly journals Risk Factors for Cranial Nerve Injury After Carotid Endarterectomy in NSQIP CEA-Targeted Database

2014 ◽  
Vol 60 (6) ◽  
pp. 1720-1721
Author(s):  
Kyla M. Bennett ◽  
John E. Scarborough ◽  
Cynthia K. Shortell
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Cranial Nerve Injury

scholarly journals Risk factors for cranial nerve injury after carotid endarterectomy

2015 ◽  
Vol 62 (2) ◽  
pp. 363-369 ◽  
Author(s):  
Kyla M. Bennett ◽  
John E. Scarborough ◽  
Cynthia K. Shortell
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Cranial Nerve Injury

scholarly journals Cranial Nerve Injury After Carotid Endarterectomy: Incidence, Risk Factors, and Time Trends

2017 ◽  
Vol 65 (4) ◽  
pp. 1242
Author(s):  
J.D. Kakisis ◽  
C.N. Antonopoulos ◽  
G. Mantas ◽  
K.G. Moulakakis ◽  
G. Sfyroeras ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Time Trends ◽  
Incidence Risk ◽  
Cranial Nerve Injury

scholarly journals Cranial Nerve Injury After Carotid Endarterectomy: Incidence, Risk Factors, and Time Trends

2017 ◽  
Vol 53 (3) ◽  
pp. 320-335 ◽  
Author(s):  
J.D. Kakisis ◽  
C.N. Antonopoulos ◽  
G. Mantas ◽  
K.G. Moulakakis ◽  
G. Sfyroeras ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Time Trends ◽  
Incidence Risk ◽  
Cranial Nerve Injury

Management of Cranial Nerve Injury Following Surgery of the Skull Base

1984 ◽  
Vol 17 (3) ◽  
pp. 577-589 ◽  
Author(s):  
Robert Thayer Sataloff ◽  
Donald L. Myers ◽  
Frederic B. Krenter
Keyword(s):  
Skull Base ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Cranial Nerve Injury

scholarly journals Cranial nerve injury is associated with dual antiplatelet therapy use and cervical hematoma after carotid endarterectomy

2016 ◽  
Vol 64 (4) ◽  
pp. 985-989.e2 ◽  
Author(s):  
Emiliano Chisci ◽  
Thomas F. Rehring ◽  
Clara Pigozzi ◽  
Serena Colon ◽  
Alessandra Borgheresi ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Antiplatelet Therapy ◽  
Nerve Injury ◽  
Cranial Nerve ◽  
Dual Antiplatelet Therapy ◽  
Cervical Hematoma ◽  
Cranial Nerve Injury
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