Carotid Chemodectomas. Experience with Nine Cases with Reference to Preoperative Embolization and Malignancy
Defraigne, Jean-Olivier ; Sakalihasan, Natzi ; Antoine, Paul et al
in Acta Chirurgica Belgica (1997), 97(5), 220-8
The medical records of nine patients (five female and four male, mean age 58 +/- 5 years) presenting with a carotid chemodectoma between 1983 and 1995 were reviewed. In two cases (22%) the diagnostic was ... [more ▼]
The medical records of nine patients (five female and four male, mean age 58 +/- 5 years) presenting with a carotid chemodectoma between 1983 and 1995 were reviewed. In two cases (22%) the diagnostic was not suspected at the time of initial presentation. The most common complaint was a swelling in the anterolateral region of the neck. One patient (11%) presented with a preoperative peripheral nerves deficits (vagus and hypoglossal palsies and Horner's syndrome). Two tumours were embolized preoperatively with polyvinyl alcohol particles. Complete surgical excision was possible in each patient and the plane of resection was adventitial. In three cases, early ligation of the external carotid artery facilitated the resection. In two patients, the vagus nerve was sacrificed because of tumour involvement. No operative mortality was observed and no vascular complication occurred. In addition to the patient with preoperative neurologic symptoms, three patients developed peripheral nerve deficits (vagus and hypoglossal nerves) postoperatively. Two of these deficits were transient. These peripheral neurologic complications were observed with the largest tumour sizes. Two cases were malignant (lymph nodes and bony metastases). These two patients received postoperative radiotherapy. The mean follow-up period 63 +/- 19 months. No patient developed local recurrence during the follow-up. Two patients died during the follow-up, one for condition unrelated to their disease and the second from metastatic dissemination. In conclusion, carotid chemodectomas may be safely resected. The best way to minimize the rate of complications is to operate them at an early stage of evolution. [less ▲]Detailed reference viewed: 27 (1 ULg)
Une masse cervicale de diagnostic souvent errone: le chemodectome carotidien.
Defraigne, Jean-Olivier ; Antoine, Paul ; SakalihasanN, Natzi et al
in Revue Médicale de Liège (1997), 52(7), 485-97Detailed reference viewed: 17 (4 ULg)
Les bacs a graisse. une solution aux problemes des matieres grasses pour les PME.
Thonart, Philippe ; Destain, Jacqueline ; Antoine, Paul et al
(1997)Detailed reference viewed: 30 (14 ULg)