gms | German Medical Science

83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2012, Mainz

The evaluation of individualized sequential treatment for carotid body tumor

Meeting Abstract

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  • Fei Chen - West China Hospital of Sichuan University, Chengdu, P.R. China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod214

doi: 10.3205/12hnod214, urn:nbn:de:0183-12hnod2142

Published: April 4, 2012

© 2012 Chen.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Objective: To discuss the experience of individualized sequential therapy for carotid body tumor patient.

Methods: A retrospective analysis was done for totally 23 patients (29 sides) with carotid body tumor; 14 cases were male while 9 were female.17 cases were unilateral, 6 cases were bilateral. After diagnose we use Matas test-BOT test-Surgical treatment sequentially. Surgical methods include 5 types: tumor stripping, tumor resection simultaneously with the external carotid artery, anastomosis of external-internal carotid artery, carotid artery revascularization, carotid artery ligation.

Results: Surgical treatment: 11 sides of carotid artery with their integrity after tumor resection; five tumor resection with external carotid artery ligation together; 6 directly repair of carotid artery damage after removal of carotid body tumor; 2 of anastomosis of external-internal carotid artery; 3 reconstruction of the carotid artery and internal carotid artery with bypass using great saphenous vein and jugular vein. 1 with carotid artery ligation only.

Conclusion: Preoperative Matas test – BOT test – Sequential surgical treatment can effectively promote the brain collateral circulation and can provide an accurate the basis of carotid artery reconstruction using bypass or not. Carotid artery rupture simple repair and carotid artery to internal carotid artery anastomosis do not need carotid bypass. So not only the bypass leading to cerebral ischemia caused arising from paralysis, coma and other serious complications were turned away, but also reduce the unnecessary use of the bypass tube and the vascular injury with blindness, thrombosis risk and related waste materials.