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Titolo:
CAROTID-BODY TUMORS - A REVIEW OF 30 PATIENTS WITH 46 TUMORS
Autore:
NETTERVILLE JL; REILLY KM; ROBERTSON D; REIBER ME; ARMSTRONG WB; CHILDS P;
Indirizzi:
VANDERBILT UNIV,MED CTR,DEPT OTOLARYNGOL,S2100 MCN NASHVILLE TN 37232 VANDERBILT UNIV,MED CTR,DEPT INTERNAL MED NASHVILLE TN 37232
Titolo Testata:
The Laryngoscope
fascicolo: 2, volume: 105, anno: 1995,
pagine: 115 - 126
SICI:
0023-852X(1995)105:2<115:CT-ARO>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CERVICAL PARAGANGLIOMAS; BARORECEPTORS; MANAGEMENT; EXPERIENCE; DIAGNOSIS; DISEASE; SINUS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
43
Recensione:
Indirizzi per estratti:
Citazione:
J.L. Netterville et al., "CAROTID-BODY TUMORS - A REVIEW OF 30 PATIENTS WITH 46 TUMORS", The Laryngoscope, 105(2), 1995, pp. 115-126

Abstract

Minimal morbidity occurs with resection of most carotid body tumors (CBT). With larger tumors significant injury to the cranial nerves has been reported. Ln order to assess the operative sequelae rate, 30 patients with CBT were reviewed. Sixteen patients either presented with bilateral carotid body tumors or had previously undergone a resection ofthe contralateral carotid body tumors, for a total carotid body tumorcount of 46, Sixteen patients demonstrated a familial pattern while 14 were nonfamilial. Within the familial group, 14 of 16 presented withmultiple paragangliomas as compared to 6 of 14 in the nonfamilial group. Tumor size ranged from 0.8 to 12 cm. Vascular replacement occurredin 2 of 20 patients with tumors <5.0 cm, compared with 5 of 9 with tumors >5.0 cm. Four patients lost cranial nerves with the resection: superior laryngeal nerve (SLN), 4; cranial nerve X, 1; cranial nerve XII, 1. Ten patients developed baroreceptor failure secondary to bilateral loss of carotid sinus function. First-bite pain occurred in 10 of 25operative patients. Cranial nerve loss can be minimal with resection of carotid body tumors, however, baroreceptor failure and first-bite pain are postoperative sequelae that are often disregarded in the postoperative period.

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Documento generato il 07/07/20 alle ore 14:32:16