Surgical resection of carotid body tumors with versus without preoperative embolization: Retrospective case‐control study. Issue 12 (2nd November 2018)

• Record Type: Journal Article
• Authors: Liu, Jianlin; Li, Yanzi; Yang, Lin; Cai, Hui
• Is Part Of: Head & neck. Volume 40:Issue 12(2018)
• Page Start: 2590
• Page End: 2595
• Publication Date: 2018-11-02
• Subjects: carotid body tumor -- complication -- embolization -- outcomes -- surgical resection; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25387
• Languages: English
• ISSNs: 1043-3074

Abstract

Abstract: Background: The purpose of this study was to investigate the outcomes of surgical resection of carotid body tumors with and without preoperative embolization. Methods: There were 31 patients who underwent surgical resection combined with preoperative embolization (SRE group), and 27 patients who underwent conventional surgical resection (SR group); all clinical data were included and reviewed. Results: There was no difference in the approach for carotid reconstruction in either group ( P > .05). The mean surgical time (110.65 ± 35.77 minutes vs 188.33 ± 66.44 minutes) and intraoperative blood loss (140.32 ± 57.12 mL vs 396.43 ± 272.82 mL) were significantly less in the SRE group ( P < .05). The volume of blood transfusions required (475 ± 301.18 mL vs 0 mL) and incidence rate of total complications (33.3% vs 9.7%) were higher in the SR group ( P < .05). However, the length of hospital stay was similar in both groups ( P > .05). Conclusion: Our results demonstrate that preoperative embolization of a carotid body tumor can reduce blood loss and complications and improve tumor excision.