A retrospective study in management of carotid body tumour

Ma, Dongyang; Liu, Lanzhong; Yao, Hong; Hu, Yongjie; Ji, Tong; Liu, Xiacheng; Zhang, Chenping; Qiu, Weiliu

doi:10.1016/j.bjoms.2009.06.006

« Previous Next »British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 6 , Pages 461-465, September 2009

A retrospective study in management of carotid body tumour

Dongyang Ma
- Department of Oral and Maxillofacial Surgery, Lanzhou General Hospital, Lanzhou Command of Chinese People's Liberation Army, Lanzhou, Gansu 730050, China
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
Lanzhong Liu
- Department of Oral and Maxillofacial Surgery, Lanzhou General Hospital, Lanzhou Command of Chinese People's Liberation Army, Lanzhou, Gansu 730050, China
Hong Yao
- Department of Oral and Maxillofacial Surgery, Lanzhou General Hospital, Lanzhou Command of Chinese People's Liberation Army, Lanzhou, Gansu 730050, China
Yongjie Hu
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
Tong Ji
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
Xiacheng Liu
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
Chenping Zhang
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
- Corresponding author. Tel.: +86 21 63138341x5460.
Weiliu Qiu
- Department of Oral and Maxillofacial Surgery, The Ninth People's Hospital of Shanghai, Jiaotong University School of Medicine, Shanghai 200011, China
- Corresponding author. Tel.: +86 21 63138341x5395.

Accepted 10 June 2009. published online 08 July 2009.

Abstract

We report our experience of the management of 53 patients with 57 carotid body tumours from two units of oral and maxillofacial surgery in China between 1995 and 2006. Digital subtraction angiography was used most often for the confirmation of diagnosis and preoperative assessment. Fifty-one patients with 55 tumours had their tumours resected and 2 patients had radiotherapy. Of the 55 excised tumours, 14 were resected successfully without injury to the carotid artery, 25 were resected with the external carotid artery, 5 had arteriorrhaphy, and 11 resulted in sacrificing the unilateral internal carotid artery (ICA). Six patients had interposition reconstruction of the ICA. Immediately after operation 14 patients (27%) had neurological damage, which was permanent in 3 (6%), and 2 (4%) developed stroke. There were no deaths. Once the ICA is resected, vascular reconstruction is recommended to minimise neurological morbidity.

Keywords: Carotid body tumour, Digital subtraction angiography, Surgery, Vascular reconstruction