gms | German Medical Science

To discuss the surgical management of Shamblin III type carotid body tumor(CBT). The clinical treatment and follow up data of 8 patients with CBTs from Jun. 2005 to Dec. 2011 were retrospectively analyzed.6 female and 2 male, The average age of the patients was 34 years. Max. size of tumor 4.5-9 cm, max. diameter 5-8.5 cm. Two cases of intracranial tumors formed on the jugular foramen. Preoperative examination included DSA examination, arterial reflux pressure measured, enhanced CT and MRI, and test. Two cases of patients treated with internal carotid artery and the external carotid artery embolism, 1 patient with internal carotid artery transplanted. Conventional lateral neck incision in 6, 2 underwent routine mandible split and carotid artery reconstruction with greater saphenous veins; 2 treated with surgical resection with improved Fish type approach combined with neurosurgery. Average blood transfusion during surgery 100-1300 ml, an average of 375 ml. All patients were followed up from 4 months to 5 years, 1 patient with extracranial-intracranial tumor recurrence and complete resection in neurosurgery again. 1 case of patients with high blood pressure preoperative and returns to normal after surgery. No new lesions occured in all patients. Symptoms did not improve after operation but have normal appetite in 2 who have cranial nerve paralysis before surgery. Most of the CBT patients underwent cervical lateral approach for removal of tumors. For carotid body tumor which were extracranial-intracranial tumor requires interdisciplinary collaboration, especially complete resection of intracranial extracranial-intracranial in jugular foramen tumors are difficult, postoperative functional exercise and cranial nerve rehabilitation are very important.