Carotid body tumor (CBT) are slow-growing tumors that develop in the cervical region at the carotid bifurcation. . In a randomized study, 33 patients were treated for CBT excision: 10 patients performed preoper- ative embolization (PE) and 23 were treated only by iso- lated traditional surgery (N-PE). The first group includes patients undergoing preoperative embolization. The second group of patients (N-PE) included 11 males and 12 females. Intraoperative complications were lower in patients treated with a hybrid procedure (PE): sections of the cranial nerves were recorded in 7% of cases com- pared to 12% of the surgical procedure (P-value = 0.72); while the reversible nerve lesions (P value = 0.21) and the permanent ones (P value = 0.46), were instead similar in both procedures. The comparative blood loss during the operative procedure shows a P-value of 0.02. Operating times, reversible damage of the cranial nerves , incidence of stroke (0% vs1%, P value> 0.99) and post-operative hos- pital stay (4.1 vs. 4.2 days, P value = 0.91) did not show differences in the two groups of patients. The analysis of the results detects pre-operative embolization of CBT in reducing intraoperative blood loss and resection of the cranial nerves.

Surgical versus sequential hybrid treatment of carotid body tumors / Amato, Bruno; Compagna, Rita; Florio, Anna; Calemma, Francesca; Rocca, Aldo; Salzano, Francesco; Brongo, Sergio; Gasbarro, Vincenzo; Aprea, Giovanni. - In: OPEN MEDICINE. - ISSN 2391-5463. - 14:1(2019), pp. 968-976. [10.1515/med-2019-0115]

Surgical versus sequential hybrid treatment of carotid body tumors

Amato, Bruno
;
Compagna, Rita;CALEMMA, FRANCESCA;Rocca, Aldo;Aprea, Giovanni
2019

Abstract

Carotid body tumor (CBT) are slow-growing tumors that develop in the cervical region at the carotid bifurcation. . In a randomized study, 33 patients were treated for CBT excision: 10 patients performed preoper- ative embolization (PE) and 23 were treated only by iso- lated traditional surgery (N-PE). The first group includes patients undergoing preoperative embolization. The second group of patients (N-PE) included 11 males and 12 females. Intraoperative complications were lower in patients treated with a hybrid procedure (PE): sections of the cranial nerves were recorded in 7% of cases com- pared to 12% of the surgical procedure (P-value = 0.72); while the reversible nerve lesions (P value = 0.21) and the permanent ones (P value = 0.46), were instead similar in both procedures. The comparative blood loss during the operative procedure shows a P-value of 0.02. Operating times, reversible damage of the cranial nerves , incidence of stroke (0% vs1%, P value> 0.99) and post-operative hos- pital stay (4.1 vs. 4.2 days, P value = 0.91) did not show differences in the two groups of patients. The analysis of the results detects pre-operative embolization of CBT in reducing intraoperative blood loss and resection of the cranial nerves.
2019
Surgical versus sequential hybrid treatment of carotid body tumors / Amato, Bruno; Compagna, Rita; Florio, Anna; Calemma, Francesca; Rocca, Aldo; Salzano, Francesco; Brongo, Sergio; Gasbarro, Vincenzo; Aprea, Giovanni. - In: OPEN MEDICINE. - ISSN 2391-5463. - 14:1(2019), pp. 968-976. [10.1515/med-2019-0115]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11588/781229
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