This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Dennis H. Kraus, MD; Bruce M. Sterman, MD; Albert G. Hakaim, MD; Edwin G. Beven, MD; Howard L. Levine, MD; Benjamin G. Wood, MD; Harvey M. Tucker, MD

Arch Otolaryngol Head Neck Surg. 1990;116(12):1384-1387.

Abstract
• The surgical management of carotid body tumors requires identification and preservation of neural and vascular structures without compromising resection of the neoplasm. Fifteen patients were examined and treated for carotid body tumors at the Cleveland (Ohio) Clinic Foundation from 1979 through 1987. The benchmark of diagnosis is bilateral carotid angiography. When neural structures are free of tumor, meticulous dissection facilitates their preservation. Large tumor size increases risk for arterial resection necessitating reconstruction. The use of a vascular shunt minimizes the risk of cerebral ischemia. Postoperative intravenous digital subtraction angiography allows for evaluation of arterial repair. A retrospective review of 15 carotid body tumor resections performed in 14 patients revealed no evidence of tumor recurrence, no mortality associated with surgical intervention, no postoperative cerebrovascular accident, and limited morbidity associated with unavoidable sacrifice of neural elements.

(Arch Otolaryngol Head Neck Surg. 1990;116:1384-1387)

Author Affiliations
From the Departments of Otolaryngology and Communicative Disorders (Drs Kraus, Sterman, Levine, Wood, and Tucker) and Vascular Surgery (Drs Hakaim and Beven), The Cleveland (Ohio) Clinic Foundation.

Footnotes
Accepted for publication June 2, 1990.

Presented at the 1989 Annual Meeting of the American Society of Head and Neck Surgeons, San Francisco, Calif, April 6, 1989.

Reprint requests to Department of Otolaryngology and Communicative Disorders, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195-5034 (Dr Tucker).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

A Contemporary Assessment of Carotid Body Tumor Surgery
Dardik et al.
VASC ENDOVASCULAR SURG 2002;36:277-283.
ABSTRACT  

Carotid Body Paragangliomas: Case Reports, Diagnostic Findings, and Pathologic Overview
Baldwin and Stephenson
Journal of Diagnostic Medical Sonography 1996;12:78-82.
ABSTRACT  

Carotid Body Tumor
Williams et al.
Arch Surg 1992;127:963-968.
ABSTRACT