ABSTRACT
The management of vagal paragangliomas is extremely challenging. Treatment of these lesions must be tailored individually for each patient. The best treatment modality depends on the patient's age and health and the size and extent of the tumor. This article discusses clinical presentation, multicentric and malignant vagal paragangliomas, evaluation, embolization, surgical management, and special considerations in the management of vagal paragangliomas.
Subject(s)
Cranial Nerve Neoplasms/diagnosis , Cranial Nerve Neoplasms/surgery , Paraganglioma/diagnosis , Paraganglioma/surgery , Vagus Nerve , Angiography , Female , Humans , Magnetic Resonance Imaging , Male , Prognosis , Treatment OutcomeABSTRACT
Paragangliomas are vasculature in nature and are surrounded by vital neurovascular structures. The extirpation of these lesions requires careful preoperative evaluation, meticulous surgical technique, and the aid of experienced skull base surgical and rehabilitative teams. When surgery is performed in this way, complications can be minimized, and the function of the upper aerodigestive tract can be protected.
Subject(s)
Head and Neck Neoplasms/surgery , Intraoperative Complications/prevention & control , Paraganglioma/surgery , Postoperative Complications/therapy , Surgical Procedures, Operative/adverse effects , Female , Head and Neck Neoplasms/diagnosis , Humans , Male , Paraganglioma/diagnosis , Postoperative Complications/prevention & control , Prognosis , Risk Assessment , Risk Factors , Surgical Procedures, Operative/methodsABSTRACT
Laryngoceles and saccular cysts are related, benign abnormalities of the larynx. The pathophysiology of both lesions can involve congenital as well as acquired factors, and the appearance of both may range from incidental findings on laryngoscopy to symptoms such as hoarseness, dysphagia, dyspnea, and laryngeal discomfort. The surgical techniques used for treatment of laryngoceles and saccular cysts are controversial. We present two cases for comparison and discuss the history, diagnosis, and surgical treatment of laryngoceles and saccular cysts. Emphasis is on the surgical approach, which in both cases transected the thyrohyoid membrane externally and provided excellent visualization and exposure without significant morbidity.
