경동맥소체 부신경절종의 수술 전 경동맥 폐색검사 및 종양 색전술: 단일 기관에서 20년간의 경험 및 문헌 고찰Preoperative Balloon Occlusion Test of the Carotid Artery and Preoperative Tumor Embolization on Paraganglioma of Carotid Body: 20-Year Experience in a Single Institute and Literature Review
- Other Titles
- Preoperative Balloon Occlusion Test of the Carotid Artery and Preoperative Tumor Embolization on Paraganglioma of Carotid Body: 20-Year Experience in a Single Institute and Literature Review
- Authors
- 심재현; 정광윤; 이태훈; 권민수; 백승국
- Issue Date
- Dec-2022
- Publisher
- 대한이비인후과학회
- Keywords
- Balloon occlusion; Carotid body tumor; Embolization; therapeutic; Head and neck neoplasms; Paraganglioma
- Citation
- Korean Journal of Otorhinolaryngology Head and Neck Surgery, v.65, no.12, pp 793 - 799
- Pages
- 7
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Otorhinolaryngology Head and Neck Surgery
- Volume
- 65
- Number
- 12
- Start Page
- 793
- End Page
- 799
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/63686
- DOI
- 10.3342/kjorl-hns.2022.00689
- ISSN
- 2092-5859
2092-6529
- Abstract
- Background and Objectives
Carotid body paraganglioma is the common type of carotid body tumor for which angiography, carotid artery balloon occlusion test (BOT) and tumor embolization could be considered before the surgery. We analyzed cases in a single institute and reviewed related literature to investigate the necessity of these preoperative examinations.
Subjects and Method
Medical records of patients who were diagnosed with paraganglioma were retrospectively analyzed from 2000 to 2019.
Results
Sixteen patients were identified. Of the total, 14 patients underwent surgery at this institute, and 13 underwent angiography. Of the 13 patients who underwent angiography, 6 patients underwent carotid artery BOT, and 12 patients underwent tumor embolization. The average tumor size of 6 patients who underwent carotid artery BOT was 28.7 mm, and 8 patients who did not undergo carotid artery BOT was 30.1 mm. The average tumor size of 12 patients who underwent tumor embolization was 29.4 mm. Two patients did not undergo tumor embolization, and their average tumor size was 30 mm. In 1 patient, both preoperative angiography and carotid artery BOT were performed, but tumor embolization was not performed due to spasm of tumor vessels.
Conclusion
Preoperative carotid artery BOT can be performed to reduce side effects in patients with the potential for carotid resection. In addition, tumor embolization is performed regardless of tumor size. By reducing the amount of bleeding during surgery and reducing the size of the tumor, it is possible to secure an appropriate surgical field of view to facilitate operation during surgery; however, its effectiveness needs to be clearly identified.
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Collections - 2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
- 2. Clinical Science > Department of Otorhinolaryngology-Head and Neck Surgery > 1. Journal Articles
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