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Clinical and experimental otorhinolaryngology v.3 no.2, 2010년, pp.91 - 95   SCIE
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Surgical Treatment of Carotid Body Paragangliomas: Outcomes and Complications According to the Shamblin Classification

Lim, Jae-Yol    (Department of Otorhinolaryngology-Head and Neck Surgery, Inha University College of Medicine, Incheon, Korea.   ); Kim, Jinna    (Department of Radiology, Yonsei University Health System, Seoul, Korea.   ); Kim, Sun Ho    (Department of Neurosurgery, Yonsei University Health System, Seoul, Korea.   ); Lee, Sak    (Department of Thoracic and Cardiovascular Surgery, Yonsei University Health System, Seoul, Korea.   ); Lim, Young Chang    (Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University College of Medicine, Seoul, Korea.   ); Kim, Jae Wook    (Department of Otorhinolaryngology, Soonchunhyang University College of Medicine, Bucheon, Korea.   ); Choi, Eun Chang    (Department of Otorhinolaryngology, Yonsei Head and Neck Cancer Clinic, Seoul, Korea.  );
  • 초록

    Objectives The objective of this study was to review our experience in the surgical management of carotid body paragangliomas and evaluate the outcomes and complications according to the Shamblin classification. Methods Thirteen patients who had been diagnosed and surgically treated for carotid body tumors (CBTs) were enrolled in this study. We reviewed patient demographics, radiographic findings, and surgical outcomes collected from medical records. Results Fifteen CBTs were found in 13 patients and 13 tumors were resected. Selective preoperative tumor embolization was performed on six patients. The median blood loss, operation time, and hospital stay for these patients were not significantly reduced compared to those without embolization. The median tumor size was 2.3 cm in Shamblin I and II and 4 cm in Shamblin III. The median intraoperative blood loss was 280 mL and 700 mL, respectively ( P P = 0.03). There were no recurrences or delayed complications at the median follow up of 29 months. Conclusion Shamblin III had a high risk of postoperative neurovascular complications. Therefore, early detection and prompt surgical resection of CBTs will decrease surgical morbidity.


  • 주제어

    Carotid body tumor .   Paraganglioma.  

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