PMID- 31626927
OWN - NLM
STAT- MEDLINE
DCOM- 20200622
LR  - 20200622
IS  - 1615-5947 (Electronic)
IS  - 0890-5096 (Linking)
VI  - 63
DP  - 2020 Feb
TI  - Outcome of Surgical Treatment for Carotid Body Tumors in Different Shambling Type 
      Without Preoperative Embolization: A Single-Center Retrospective Study.
PG  - 325-331
LID - S0890-5096(19)30767-8 [pii]
LID - 10.1016/j.avsg.2019.08.088 [doi]
AB  - BACKGROUND: Carotid body tumor (CBT) is the most common head and neck 
      paragangliomas. Surgical resection is the golden standard management for CBT. 
      While preoperative embolization is still controversial, long-term outcomes and 
      perioperative results are still deficient. We, here, presented the outcomes of 
      surgical treatment for CBT without preoperative embolization at our institution. 
      METHODS: In this retrospective study, we collected data from 101 patients who 
      received surgical treatment for CBTs without preoperative embolization from 2011 
      to 2016. In addition, we attempted to conduct 2 years of follow-up under the 
      guidance of both neurologist and vascular surgeon. Patients' demographics, 
      clinical characteristics, complications, and follow-up results were all analyzed 
      with descriptive statistics. RESULTS: Complete resection of the CBT was achieved 
      in 101 cases (100%). Postoperative adverse events (AEs) mostly observed during 
      hospitalization were as follows: tongue bias (I: 4, 36.4%; II: 8, 19.5%; III: 13, 
      26.5%), hoarseness (I: 1, 9.1%; II: 4, 9.8%; III: 7, 14.3%), dysphagia (I: 0; II: 
      2, 4.9%; III: 7, 14.3%), and hematoma (I: 0; II: 0; III: 1, 2.0%). No other 
      serious AEs were observed. The total incidence of AEs in type I patients was 5 
      (45.5%), 14 (34.1%) in type II, and 28 (57.1%) in type III, and the type III 
      group has significantly higher than the other two groups. At the end of 2 years 
      of follow-up, there were no AEs in type I patients. The number of patients with 
      AEs in type III was greater than that in type II, although there was no 
      significant difference. Based on our findings, 3 most commonly injured cranial 
      nerves (CNs) after surgical resection of CBT were CN XII (hypoglossal nerve, 
      21.9%), CN X (vagus nerve, 20.3%), and recurrent laryngeal nerve (18.8%). 
      CONCLUSIONS: Surgical management without preoperative embolization for CBT 
      patients is a safe and effective therapeutic approach.
CI  - Copyright (c) 2019. Published by Elsevier Inc.
FAU - Han, Tonglei
AU  - Han T
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Wang, Shiying
AU  - Wang S
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Wei, Xiaolong
AU  - Wei X
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Xie, Yongfu
AU  - Xie Y
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Sun, Yudong
AU  - Sun Y
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Sun, Huiying
AU  - Sun H
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Zhu, Jiang
AU  - Zhu J
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China.
FAU - Wu, Yani
AU  - Wu Y
AD  - Department of Breast and Thyroid Surgery, Changhai Hospital, Second Military 
      Medical University, Shanghai, China.
FAU - Zhou, Jian
AU  - Zhou J
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China. Electronic address: zhoujian1-2@163.com.
FAU - Zhao, Zhiqing
AU  - Zhao Z
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China. Electronic address: zhaozqxueguan@126.com.
FAU - Jing, Zaiping
AU  - Jing Z
AD  - Department of Vascular Surgery, Changhai Hospital, Second Military Medical 
      University, Shanghai, China. Electronic address: jingzaiping_endo@126.com.
LA  - eng
PT  - Journal Article
DEP - 20191015
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Adult
MH  - Aged
MH  - Carotid Body Tumor/diagnostic imaging/pathology/*surgery
MH  - China
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/etiology
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Time Factors
MH  - Treatment Outcome
MH  - *Vascular Surgical Procedures/adverse effects
MH  - Young Adult
EDAT- 2019/10/19 06:00
MHDA- 2020/06/23 06:00
CRDT- 2019/10/19 06:00
PHST- 2019/03/11 00:00 [received]
PHST- 2019/07/17 00:00 [revised]
PHST- 2019/08/03 00:00 [accepted]
PHST- 2019/10/19 06:00 [pubmed]
PHST- 2020/06/23 06:00 [medline]
PHST- 2019/10/19 06:00 [entrez]
AID - S0890-5096(19)30767-8 [pii]
AID - 10.1016/j.avsg.2019.08.088 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 2020 Feb;63:325-331. doi: 10.1016/j.avsg.2019.08.088. Epub 2019 
      Oct 15.