Carotid Body Tumors

2002 ◽  
Vol 10 (2) ◽  
pp. 173-175
Author(s):  
Hakki Aydoğan ◽  
Gökçen Orhan ◽  
Serap Aykut-Aka ◽  
Şebnem Albeyoğlu ◽  
Okan Yücel ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hearing Loss ◽  
Carotid Artery ◽  
Doppler Ultrasound ◽  
Carotid Body ◽  
Surgical Excision ◽  
Cranial Computed Tomography ◽  
Carotid Body Tumors

Carotid body paragangliomas were diagnosed by Doppler ultrasound, carotid artery angiography, and cranial computed tomography in a 35-year-old man with a mass in the neck and hearing loss, and in a 42-year-old man with headache, syncope, and a mass in the neck. They underwent successful surgical excision.

Concomitant Surgical Treatment of Symptomatic Carotid Artery Disease With a Coexisting Shamblin I Carotid Body Tumor

2017 ◽  
Vol 51 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Carlos A. Hinojosa ◽  
Javier E. Anaya-Ayala ◽  
Hugo Laparra-Escareno ◽  
Adriana Torres-Machorro ◽  
Rene Lizola ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Carotid Artery Disease ◽  
Duplex Ultrasound ◽  
Neurological Deficits ◽  
Symptomatic Carotid ◽  
Carotid Body Tumors ◽  
Carotid Artery Endarterectomy ◽  
Artery Disease ◽  
Dissection Technique

Symptomatic carotid artery atherosclerotic disease is an indication for carotid artery endarterectomy. The coexistence of carotid body tumors (CBTs) with symptomatic carotid disease is rarely encountered and adds significant challenges to vascular surgeons, with a reported overall mortality for patients who undergo endarterectomy and tumor excision of 8.8%, as opposed to the 2% for those who had CBT excision only. We describe the case of a 79-year-old female who experienced an acute cerebrovascular accident in the left hemisphere; duplex ultrasound revealed high-grade carotid stenosis in the left side and the presence of a Shamblin I CBT. The risks and benefits of the planned operation were reviewed, and the decision was made to proceed with early carotid endarterectomy and concomitant surgical resection of the tumor using the retrocarotid dissection technique. The patient recovered well, and at 11 months from the combined procedure, her neurological deficits improved significantly.

scholarly journals Successful devascularization of carotid body tumors by covered stent placement in the external carotid artery

2008 ◽  
Vol 48 (5) ◽  
pp. 1322-1324 ◽  
Author(s):  
James M. Scanlon ◽  
Jacob J. Lustgarten ◽  
Stewart B. Karr ◽  
Jules I. Cahan
Keyword(s):  
Carotid Artery ◽  
Carotid Body ◽  
Stent Placement ◽  
Covered Stent ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Body Tumors

scholarly journals Paradigm Shift of Carotid Body Paraganglioma Surgical Technique from Caudocranial to Craniocaudal Dissection: Analysis of Recent Literature

2014 ◽  
Vol 5 (3) ◽  
pp. 119-125
Author(s):  
Sudhir Naik ◽  
Rajshekar Halkud ◽  
A Nanjundappa ◽  
Siddharth Biswas ◽  
Ashok M Shenoy ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Technique ◽  
Carotid Artery ◽  
Carotid Body ◽  
Computed Tomography Angiography ◽  
Paradigm Shift ◽  
Recent Literature ◽  
Preoperative Assessment ◽  
Preoperative Imaging ◽  
External Carotid

ABSTRACT Background The classical Shamblin's classification predicts only vascular morbidity without remarking on the neurological morbidity, while the neurological damage increase with vessel ligation and reconstruction. A modified Shamblin's classification described by Luna-ortiz with incorporation of the Hallett's zones of injury has been studied here. Materials and methods We present a case series analysis of carotid body paraganglioma managed in our institute. The study included 17 patients, 14 females and three males with a mean duration of presentation of 6.82 months. All were imaged with multislicer computed tomography angiography (CTA) and magnetic resonance angiography (MRA) for preoperative assessment and operated in the craniocaudal technique. The tumors were graded according to the modified Shamblin's criteria: grades I (2), II (13), IIIa (2), IIIb (0). Results All the preoperative assessment of grading matched with the intraoperative findings. External carotid artery (ECA) ligation was done in two cases, no internal carotid artery (ICA) ligation and reconstruction were done. Two cases of permanent damage to the 12th nerve, two vagal nerve weakness was seen. No stroke or mortality recorded. The tumor was confirmed on immunohistochemistry. The patients were followed up for 6 months to 5 years with a mean follow-up of 2.5 years. Conclusion Preoperative imaging assessment using multislicer computed tomography angiography (MSCTA) and MRA helps to measuring the circumferential vessel involvement in grade III tumors. So, a craniocaudal dissection with assessment of all the zones of injury reduced blood loss and minimized neurovascular complications. How to cite this article Halkud R, Shenoy AM, Nanjundappa A, Chavan P, Sidappa KT, Madhu SD, Biswas S, Naik SM. Paradigm Shift of Carotid Body Paraganglioma Surgical Technique from Caudocranial to Craniocaudal Dissection: Analysis of Recent Literature. Int J Head Neck Surg 2014;5(3):119-125.

Common carotid artery pseudoaneurysm after neck dissection: colour Doppler ultrasound and multidetector computed tomography findings

2006 ◽  
Vol 121 (5) ◽  
pp. 497-500 ◽  
Author(s):  
N Flor ◽  
F Sardanelli ◽  
G Ghilardi ◽  
A Tentori ◽  
G Franceschelli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Carotid Artery ◽  
Neck Dissection ◽  
Multidetector Computed Tomography ◽  
Doppler Ultrasound ◽  
Common Carotid Artery ◽  
Multidetector Ct ◽  
Imaging Modality ◽  
Conventional Angiography ◽  
Artery Pseudoaneurysm

Common carotid artery pseudoaneurysm is a rare disease, which has been previously unreported in association with neck dissection. We describe the Doppler ultrasound and multidetector computed tomography (CT) findings of a case of carotid pseudoaneurysm, one month after pharyngolaryngectomy with bilateral neck dissection. Multidetector CT confirmed the diagnosis made on the basis of Doppler ultrasound; the high image quality of axial and three-dimensional reconstructions avoided the need for pre-operative conventional angiography. In the presence of a pulsatile cervical mass after neck surgery, pseudoaneurysm of the carotid artery should be included in the differential diagnosis, and multidetector CT can be the sole pre-operative diagnostic imaging modality.

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