DOI: 10.25881/BPNMSC.2019.82.85.026

Authors

Khamroev S.Sh., Batrashov V.A., Udaev S.S., Sergeev O.G., Bolomatov N.V., Podgurskaya M.G.

Pirogov National Medical and Surgical Center, Clinic of Thoracic and Cardiovascular Surgery St. George’s, Moscow

Abstract

The authors we present a variant of staged surgical treatment of neck giant paraganglioma using intraoperative neuromonitoring. This approach reduces the risk of intraoperative bleeding, and also avoids damage of nerves and acute cerebrovascular accident by controlling the degree of cerebral ischemia during compression of the carotid arteries.

Keywords: paraganglioma, common carotid artery, internal carotid artery, nervusvagus, intraoperative neuromonitoring, acute cerebrovascular accident.

References

1. Atanasyan LA. Hemodektoma. Moscow: Medicina, 1967. – 92 p. (In Russ).

2. Borodulin YuV, Dolgushin BI, Kolesnikova EK, Podviznikov SO. Sovremennye metody diagnostiki v raspoznavanii i ocenke rasprostranennosti karotidnyh khemodektom. Sovetskaya medicina. 1991;8(1): 44-74. (In Russ).

3. Gazimagomedov ZI. Paragangliomy shei. Kreativnaya kardiologiya. 2015; 9(1): 56–65. (In Russ).

4. Druzhinin DS, Pizova NV. Karotidnaya hemodektoma: differencial’naya diagnostika po dannym ul’trazvukovogo issledovaniya. Opuholi golovy i shei. 2012;1: 46–50. (In Russ).

5. Matyakin EG. Paragangliomy shei. EHnciklopediya klinicheskoj onkologii Moscow.: OOO. «RSS-2004»: 593–604. (In Russ).

6. Matyakin, E.G. Paragangliomy shei. Moscow.: Verdana;2005:240. (In Russ).

7. Moskalenko YuD, Spiridonov AA, Klioner LI, et al. Rekonstruktivnaya hirurgiya sonnyh arterij pri radikal’nom udalenii karotidnyh hemodektom. Klinicheskay ahirurgiya. 1985;4:41–43. (In Russ).

8. Pinskij SB, Dvornichenko VV, Repeta OR. Paragangliomy shei Sibirskij medicinskij zhurnal. 2009;2: 9–15. (In Russ).

9. Stegajlov RA, Gavrilenko AV. Diagnostika i lechenie hemodektom. Voprosy onkologii;1979;9: 7-11. (In Russ).

10. Uranova EV. Rukovodstvo po patologicheskoj diagnostike opuholej cheloveka. Moscow.: Medicina;1976:94 . (In Russ).

11. Falileev, GV. Opuholishei. – Moscow.: Medicina, 1978:168. (In Russ).

12. Jackson GG, Harris PP, Glasscock. Diagnosis and management of paragangliomas of the skul base. Amer.J.Surg;1990;4:389–393.

13. Hallet JW, Nora JD, Hollier LH. Trends in neurovascular complications of surgical management for carotid body and cervical paragangliomas: a fifty-year experience with 153 tumors. JVascularSurg; 1988;7: 284-291.

14. Kyriakos M. Pathology of selected soft tissue tumors of head and neck. In Comprehensive Management of Head and Neck Tumors;1987: 1261–1264.

15. LaMuraglia G, Fabian R, Brewster G, et al. The current surgical management of carotid body paragangliomas. J. Vasc. Surg;1992;15: 1038–1044.

16. Rossi P, Russo F, Paganelli C, et al. 11 chemodectoma presentazione di un casoclinicoe revision dellaletteratura. G-Chir; 1994; 15: 21–28.

17. Shamblin W, Remine W, Sheps S, Harrison E. Carotid body tumors. Am J Surg;1971; 122: 732–739.

18. Theron T, Knight Jr, Gonzalez JA., et al. Rush. Current concepts for the surgical management of carotid body tumor. Amer.J.Surg; 2006;191:104–110.

19. Westerband A, Hunter GC., Cintora I. Current trends in the detection and management of carotid body tumors. J VascSurg;1998; 1: 84–93.

For citation

Khamroev S.Sh., Batrashov V.A., Udaev S.S., Sergeev O.G., Bolomatov N.V., Podgurskaya M.G. Stage surgical treatment of neck paraganglioma. Bulletin of Pirogov National Medical & Surgical Center. 2019;14(3):135-137. (In Russ.) https://doi.org/10.25881/BPNMSC.2019.82.85.026