Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension

作者：Prouse Giorgio; Mazzaccaro Daniela; Settembrini Fernanda; Carmo Michele; Biglioli Federico; Settembrini Piergiorgio G^*

来源：Journal of Vascular Surgery, 2013, 58(2): 486-490.

DOI：10.1016/j.jvs.2012.11.086

We report two patients with a carotid body paraganglioma that extended to the skull base, a position that is surgically inaccessible by means of a traditional lateral cervical approach. In both patients we were able to remove the lesion by performing a double mandibular osteotomy. Both patients underwent preoperative embolization to reduce the mass. In our experience, this approach has allowed a safe radical excision of exceptionally high lesions with only minor permanent nerve damage. In our opinion this advantage definitely outweighs the consequences of the increased invasiveness of this technique.

• 出版日期2013-8