A Retrospective Study on Carotid Body Tumor, Safe Surgical Treatment without Embolization: A Report of 46 Cases

نویسندگان

1 Department of Otolaryngology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Department of Otolaryngology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Student Research committee, Faculty of Medicine, Iran University of Medical sciences, Tehran, Iran.

4 Department of Otolaryngology, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

doi
10.22037/orlfps.v9i1.44810
چکیده

Background: Carotid body tumors are the most prevalent type of paragangliomas in head and neck region, which present as painless mass in carotid triangle with slowing growth. A palpable mass in the neck is the most common symptom of these tumors and other less common symptoms including hoarseness and dysphagia. The current standards of care for carotid body tumor patients are surgical resection. These tumors don’t response to radiation therapy and chemotherapy. Aim: In this study we evaluated surgical treatment without embolization as a safe treatment modality for carotid body tumours. Methods: In this study, 46 patients with a total of 50 carotid body tumors were investigated in order to recording their demographic data, clinical presentation, diagnostic modality and treatment strategy. Results: The results demonstrated that almost 78% of patients were female and patients were 21 to 78 years of age, with the average of 49.1. Bilateral carotid body tumors were observed in 8.7% of patients who had familial history. Conclusion: Carotid body tumors can be removed surgically with minimal morbidity and mortality risks. Understanding the vascular anatomy of this region is critical for the surgeon. However, there is a major surgical challenge due to the nature of the tumor and its vital neighbourhood.