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Case Reports
. 2024 Feb 19;86(4):2181-2188.
doi: 10.1097/MS9.0000000000001847. eCollection 2024 Apr.

Surgical outcomes for carotid body tumour resection without preoperative embolization: a 10-year experience

Barzany Ridha  1 , Varin Aram  2 , Aram Baram  3 , Soren Younis Hama Baqi  4 , Fitoon Yaldo  5
Affiliations
Case Reports

Surgical outcomes for carotid body tumour resection without preoperative embolization: a 10-year experience

Barzany Ridha et al. Ann Med Surg (Lond). .

Abstract

Background: Carotid body tumours (CBTs) are neoplasms originating from the paraganglionic cells of the carotid body. Excision is the main route of treatment. This study sought to assess the surgical outcomes of post-carotid body tumour resection without preoperative embolization and discern any underlying relationships between modified Shamblin classes (MSC) and related complications.

Methods: A retrospective medical record review of prospectively collected data is performed at Sulaymaniyah Teaching Hospital between 2008 and 2019, for 54 patients. Presurgical and postsurgical variables such as comorbidities and complications were noted, respectively.

Results: Patient ages ranged between 26 and 60 years (x̄=40.06) with a minimal female predominance (57.4%). Complications included one minor stroke. MSC and postoperative complications were significantly related (P≤0.001). Our analyses also suggested a significant relationship between intraoperative blood loss and the incidence of postoperative complications (P=0.001, χ²=25). The MSC III subtype was significantly associated with intraoperative blood loss (P=0.000), length of stay (P=0.000), and operating time (P=0.001).

Conclusions: Our study purports a strong relationship between greater MSC and complications of all types. As such, surgeons may benefit from preoperative strategies to minimize complications.

Keywords: carotid body tumours; complications; cranial nerve injury; modified shamblin class; preoperative embolization; stroke.

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Conflict of interest statement

Not applicable.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Figures

Figure 1
Figure 1
Computed tomographic angiography of the carotid bifurcation shows a large carotid body tumour.
Figure 2
Figure 2
Longitudinal right anterior neck triangle, carotid body tumour found within carotid bifurcation.
Figure 3
Figure 3
Right-sided carotid body tumour Shamblin IIIa post-total resection with preservation of all cranial nerves.
Figure 4
Figure 4
Scatterplot comparing computed tomographic (CT) surface area (cm2), operating time (min).
Figure 5
Figure 5
Scatterplot comparing computed tomographic (CT) surface area (cm2) and blood loss (ml).
See this image and copyright information in PMC

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