Management of the cervico‐petrous internal carotid artery in class C tympanojugular paragangliomas

Head and Neck - Tập 38 Số 6 - Trang 899-905 - 2016
Andrea Bacciu1, Sampath Chandra Prasad2, Natalie Sist3, Giulia Rossi1, Paolo Piazza4, Mario Sanna2
1Department of Clinical and Experimental Medicine Otolaryngology Unit University‐Hospital of Parma Parma Italy
2Department of Otology and Skull Base Surgery, Gruppo Otologico, Piacenza, Rome, Italy
3Department of Otolaryngology, Eastern Health Box Hill Victoria Australia
4Department of Neuroradiology, University Hospital of Parma, Parma, Italy

Tóm tắt

AbstractBackgroundManagement of the cervical and petrous internal carotid artery (ICA) is frequently required in Fisch class C tympanojugular paragangliomas (TJPs). The purpose of this study was to discuss the perioperative intervention of the ICA in patients who underwent surgical resection of a TJP.MethodsA retrospective study of 237 patients surgically treated for Fisch class C TJPs was done to identify cases that required ICA management.ResultsManagement of the ICA was required in 176 patients (74.2%). Forty‐two patients required just an ICA decompression, 88 underwent a subperiosteal dissection, 19 underwent subadventitial dissection without intraluminal stenting, 17 underwent subadventitial dissection with intraluminal stenting, and 12 underwent arterial resection after permanent balloon occlusion. There were no complications associated with the endovascular procedures. Gross total tumor resection was achieved in 91.5% of the cases.ConclusionPreoperative endovascular intervention, in selected cases, facilitates gross total tumor removal and significantly reduces the risk of an intraoperative ICA injury. © 2015 Wiley Periodicals, Inc. Head Neck 38: 899–905, 2016

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Head and Neck

Tập 38 Số 6

899-905

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