title: Double osteotomy of mandibula in the treatment of carotid body tumors with skull base extension.
abstract: 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.
authors: Division of Vascular Surgery, Ospedale S. Carlo Borromeo, Universitá degli Studi di Milano, Milan, Italy.
authors: Giorgio
authors: G
authors: Prouse
authors: Daniela
authors: D
authors: Mazzaccaro
authors: Fernanda
authors: F
authors: Settembrini
authors: Michele
authors: M
authors: Carmo
authors: Federico
authors: F
authors: Biglioli
authors: Piergiorgio G
authors: PG
authors: Settembrini
mesh_terms: D002345:Carotid Body Tumor / Q000098:blood supply / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D063168:Mandibular Osteotomy; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D019291:Skull Base / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011142:Polyvinyl Alcohol