[Values and limitations of embolization in cervical paragangliomas. Definition of a new diagnostic strategy. Apropos of 20 cases].
From 1966 to 1986, twenty cervical paragangliomas are treated by the authors: seven vagals and thirteen carotid one's. Seven patients out of these twenty underwent an embolisation during the pre-op arteriography. Studying the results, the authors show how much this embolisation increases the risk of a per-op carotid resection with by-pass, especially for the carotid localization. Dropping the embolisation, gives a chance for a new and, more acute diagnostic strategy, based on computerized tomography and digitalized arteriography. These exams should avoid the per-op discovery of these tumors in more than one half of the cases during an exploratory initial cervicotomy.
Chabolle
F
F
Service d'ORL, Hôpital Saint-Antoine, Paris.
Laccourreye
O
O
Meyer
B
B
Brasnu
D
D
Laccourreye
H
H
Chouard
C H
CH
D000293:Adolescent; D000328:Adult; D000368:Aged; D000792:Angiography; D002340:Carotid Artery Diseases / Q000175:diagnosis; D002648:Child; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis; D004621:Embolization, Therapeutic; D005069:Evaluation Studies as Topic; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010236:Paraganglioma, Extra-Adrenal / Q000175:diagnosis*; D012189:Retrospective Studies; D014630:Vagus Nerve
Intérêts et limites de l'embolisation dans les paragangliomes cervicaux. Définition d'une nouvelle stratégie diagnostique. A propos de 20 cas.