[Reconstruction of internal carotid artery in the resection of paraganglioma of head and neck].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 38(9): 802-807;811, 2024 Sep.
Article
in Zh
| MEDLINE
| ID: mdl-39193736
ABSTRACT
Objective:
This study aims to discuss the necessityï¼surgical method and effect of reconstruction of internal carotid artery ï¼ICAï¼ in the resection of paraganglioma of head and neck.Methods:
We retrospectively analyzed the data of the patients who underwent head and neck paraganglioma resection and ICA reconstruction in Peking Union Medical College Hospital from May 2015 to August 2023. The demographic characteristics, preoperative examinations, diagnoses, surgical techniques, and follow-up information were collected.Results:
Six patients were enrolled, including four females and two males, with an average age ofï¼39.8±13.0ï¼ years. All the patients presented mainly complaining local masses with or without pain. Four cases underwent surgery through Fisch infratemporal fossa approach type A+B, and one through approach type A and one through transcervical approach. Five patients had vascular reconstruction using the great saphenous vein while one patient used an artificial vessel. The average follow-up period wasï¼43.8±31.6ï¼ months. One patient had tumor recurrence after 3 years and underwent second surgery to remove the residual tumor, and the other 5 patients had no tumor recurrence. One patient had acute bridging vessel embolism, and the other was found to have occlusion of the bridging vessel at follow-up.Conclusion:
Carotid revascularization during resection of paraganglioma of head and neck is an important technique to completely remove the tumor, cure the disease, ensure intracranial blood supply, and reduce cerebrovascular complications. The "pre-reconstruction technique " is an effective method to minimize the duration of brain blood flow interruption, compared to traditional carotid revascularization. Close observation is necessary, along with regular radiological examinations to assess the patency of transplanted vessels, and the residual or recurrent tumors.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Paraganglioma
/
Carotid Artery, Internal
/
Head and Neck Neoplasms
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Zh
Journal:
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
Year:
2024
Document type:
Article
Country of publication:
China