We report two patients with a carotid body paraganglioma that extended to the skull base, a position that is surgically inaccessible by means of a traditional lateral cervical approach. In both patients we were able to remove the lesion by performing a double mandibular osteotomy. Both patients underwent preoperative embolization to reduce the mass. In our experience, this approach has allowed a safe radical excision of exceptionally high lesions with only minor permanent nerve damage. In our opinion this advantage definitely outweighs the consequences of the increased invasiveness of this technique.
Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension : Short series / G. Prouse, D. Mazzaccaro, F. Settembrini, M. Carmo, F. Biglioli, P.G. Settembrini. - In: JOURNAL OF VASCULAR SURGERY. - ISSN 0741-5214. - 58:2(2013 Feb), pp. 486-490. [Epub ahead of print]
Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension : Short series
G. ProusePrimo
;D. MazzaccaroSecondo
;F. Settembrini;F. BiglioliPenultimo
;P.G. SettembriniUltimo
2013
Abstract
We report two patients with a carotid body paraganglioma that extended to the skull base, a position that is surgically inaccessible by means of a traditional lateral cervical approach. In both patients we were able to remove the lesion by performing a double mandibular osteotomy. Both patients underwent preoperative embolization to reduce the mass. In our experience, this approach has allowed a safe radical excision of exceptionally high lesions with only minor permanent nerve damage. In our opinion this advantage definitely outweighs the consequences of the increased invasiveness of this technique.Pubblicazioni consigliate
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