Key result
Surgical excision of carotid body tumors in three patients resulted in one postoperative stroke and one left vagal palsy.
Why the study?
Delay in the surgical resection of carotid body tumors may be associated with high morbidity, mortality, and risk of malignant transformation.
Case Report (n=3)
Surgical excision of carotid body tumors carries risks of significant neurological complications, highlighting the need for careful preoperative evaluation of collateral circulation and staged procedures for bilateral tumors.
Excision of carotid body tumors may entail substantial neurological complications; leaves open optimal preoperative planning and bilateral management strategies.
Introduction: Carotid body tumors (CBT) or paragangliomas account for approximately 3% of all paragangliomas occurring in the head-and-neck region. Delay in the surgical resection of tumors may be associated with high morbidity or mortality and risk of malignant transformation. Methodology: Three cases of CBTs were included in the study, out of which one case presented as bilateral neck swelling. All the patients were clinically and radiologically evaluated and taken up for surgical excision of the tumor. In case with bilateral tumor, a staged removal was planned. Results: Out of three patients, a female patient developed stroke postoperatively, she was managed and discharged in stable condition, and another male patient developed left vagal palsy. Conclusion: Excision of shambling Type III CBTs is difficult and one should know the collateral circulation of the tumor preoperatively. Bilateral CBT resection requires staging procedures to reduce the risk of cardiovascular and neurological issues.
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Singh et al. (2021) conducted a case report in Carotid body tumors (n=3). Surgical excision was evaluated on Postoperative complications. Surgical excision of carotid body tumors in three patients resulted in one postoperative stroke and one left vagal palsy.
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