Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study
Abstract Background Carotid body tumors (also known as glomus tumors) represent the most prevalent paragangliomas found in the head and neck region. These neoplasms originate from the aggregation of chemoreceptor cells in the cervical area, stemming from the neural crest during embryonic development...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2025-02-01
|
| Series: | Egyptian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s41984-025-00359-z |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823862861266419712 |
|---|---|
| author | Farooq Ahmad Ganie Masarat-ul Gani Hakeem Zubair Ashraf Shahbaz Bashir Iqra Nazir Naqash Mudasir Hamid Bhat Shadab Maqsood Altaf Hussain Mir Mohd Iqbal Dar |
| author_facet | Farooq Ahmad Ganie Masarat-ul Gani Hakeem Zubair Ashraf Shahbaz Bashir Iqra Nazir Naqash Mudasir Hamid Bhat Shadab Maqsood Altaf Hussain Mir Mohd Iqbal Dar |
| author_sort | Farooq Ahmad Ganie |
| collection | DOAJ |
| description | Abstract Background Carotid body tumors (also known as glomus tumors) represent the most prevalent paragangliomas found in the head and neck region. These neoplasms originate from the aggregation of chemoreceptor cells in the cervical area, stemming from the neural crest during embryonic development. Aims and objectives This study aims to delineate our singular institutional experience concerning the clinical characteristics, surgical strategies, and outcomes associated with carotid body tumors (CBTs). Materials and methods Surgical intervention was administered to a cohort of 40 patients. Among them, 7 individuals were classified as Shamblin Type 1, 20 as Type 2, and 13 as Type 3. Only one patient necessitated a saphenous vein interposition graft for the right internal carotid artery. For Shamblin Type 3 lesions, we employed the RF (Rija-farooq) technique, a retrograde dissection method wherein we first delineated the tumor from the internal carotid artery, followed by the external carotid artery, and finally, at the carotid bifurcation. Results Notably, none of the patients exhibited any postoperative neurological or vascular complications. Furthermore, during the subsequent follow-up period, no instances of tumor recurrence or mortality were recorded. Conclusion Surgical resection stands as the optimal therapeutic approach for managing CBTs. Once the diagnosis of CBT is confirmed, prompt surgical intervention should be pursued. Essential considerations in treatment planning include meticulous assessment of imaging characteristics and cerebral collateral circulation, which guide the selection of appropriate surgical methods. |
| format | Article |
| id | doaj-art-fab7c5074fa9466c8439c105da040297 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-fab7c5074fa9466c8439c105da0402972025-02-09T12:25:15ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011910.1186/s41984-025-00359-zAdvanced surgical techniques and considerations in carotid body tumor management: insights from a cohort studyFarooq Ahmad Ganie0Masarat-ul Gani1Hakeem Zubair Ashraf2Shahbaz Bashir3Iqra Nazir Naqash4Mudasir Hamid Bhat5Shadab Maqsood6Altaf Hussain Mir7Mohd Iqbal Dar8Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical SciencesDepartment of Pathology, Government Medical CollegeDepartment of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical SciencesDepartment of General Surgery, Sher-i-Kashmir Institute of Medical SciencesDepartment of Anesthesia and Critical Care, Sher-i-Kashmir Institute of Medical SciencesDepartment of Radiology, Sher-i-Kashmir Institute of Medical SciencesDepartment of Radiology, Sher-i-Kashmir Institute of Medical SciencesDepartment of Anesthesia and Critical Care, Sher-i-Kashmir Institute of Medical SciencesDepartment of Cardiology, Sher-i-Kashmir Institute of Medical SciencesAbstract Background Carotid body tumors (also known as glomus tumors) represent the most prevalent paragangliomas found in the head and neck region. These neoplasms originate from the aggregation of chemoreceptor cells in the cervical area, stemming from the neural crest during embryonic development. Aims and objectives This study aims to delineate our singular institutional experience concerning the clinical characteristics, surgical strategies, and outcomes associated with carotid body tumors (CBTs). Materials and methods Surgical intervention was administered to a cohort of 40 patients. Among them, 7 individuals were classified as Shamblin Type 1, 20 as Type 2, and 13 as Type 3. Only one patient necessitated a saphenous vein interposition graft for the right internal carotid artery. For Shamblin Type 3 lesions, we employed the RF (Rija-farooq) technique, a retrograde dissection method wherein we first delineated the tumor from the internal carotid artery, followed by the external carotid artery, and finally, at the carotid bifurcation. Results Notably, none of the patients exhibited any postoperative neurological or vascular complications. Furthermore, during the subsequent follow-up period, no instances of tumor recurrence or mortality were recorded. Conclusion Surgical resection stands as the optimal therapeutic approach for managing CBTs. Once the diagnosis of CBT is confirmed, prompt surgical intervention should be pursued. Essential considerations in treatment planning include meticulous assessment of imaging characteristics and cerebral collateral circulation, which guide the selection of appropriate surgical methods.https://doi.org/10.1186/s41984-025-00359-zCarotid body tumorSaphenous vein collateral circulationMalignantParagangliomas |
| spellingShingle | Farooq Ahmad Ganie Masarat-ul Gani Hakeem Zubair Ashraf Shahbaz Bashir Iqra Nazir Naqash Mudasir Hamid Bhat Shadab Maqsood Altaf Hussain Mir Mohd Iqbal Dar Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study Egyptian Journal of Neurosurgery Carotid body tumor Saphenous vein collateral circulation Malignant Paragangliomas |
| title | Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study |
| title_full | Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study |
| title_fullStr | Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study |
| title_full_unstemmed | Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study |
| title_short | Advanced surgical techniques and considerations in carotid body tumor management: insights from a cohort study |
| title_sort | advanced surgical techniques and considerations in carotid body tumor management insights from a cohort study |
| topic | Carotid body tumor Saphenous vein collateral circulation Malignant Paragangliomas |
| url | https://doi.org/10.1186/s41984-025-00359-z |
| work_keys_str_mv | AT farooqahmadganie advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT masaratulgani advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT hakeemzubairashraf advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT shahbazbashir advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT iqranazirnaqash advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT mudasirhamidbhat advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT shadabmaqsood advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT altafhussainmir advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy AT mohdiqbaldar advancedsurgicaltechniquesandconsiderationsincarotidbodytumormanagementinsightsfromacohortstudy |