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ITALIAN SOCIETY FOR THE STUDY OF VASCULAR ANOMALIES (SISAV)
CONGRESS 2014
International Angiology 2015 December;34(6 Suppl 1):15-22
Copyright © 2015 EDIZIONI MINERVA MEDICA
lingua: Inglese
Surgical complications of carotid body tumors surgery: a review
Amato B. 1, 3, Serra R. 2, 3, Fappiano F. 1, Rossi R. 1, Danzi M. 1, Milone M. 1, Quarto G. 1, Benassai G. 1, Bianco T. 1, Amato M. 1, Furino E. 1, Compagna R. 1, 3 ✉
1 Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy; 2 Department of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy; 3 (CIFL) International Research and Educational Program in Clinical and Experimental Biotechnology, Headquarters: University Magna Graecia of Catanzaro, Catanzaro, Italy
Carotid body tumor (CBT) is a rare neoplasm, although it represents about 65% of head and neck paragangliomas. Surgical excision is considered the appropriate therapy for CBTs. The aim of this study was to evaluate surgical outcomes on a large scale. We reviewed 19 studies between 2004 to 2014 with a total of 625 procedures. We observed a higher number of cases in women (62%). Only 3 (0,48%) deaths were reported as surgical complication. Total cranial nerve injuries were 302 (48,32%) of which 194 (31,04%) were transient and 108 (17,28%) were permanent. We found a total of 174 (27,84%) arterial injuries, most of which are external carotid artery (ECA) injuries. Cerebrovascular accident due to surgery were 15 (2,4%). We concluded that surgical resection remains the treatment of choice for these disease despite the related morbidity.