Evaluating the role of embolization and carotid artery sacrifice and reconstruction in the management of carotid body tumors.
To review the surgical management of carotid body tumors (CBT), outcomes of carotid artery reconstruction, as well as utility of preoperative embolization.



Retrospective chart review.



A single-surgeon case series with chart review was performed of all cases between 1997 and 2014 at a single institution. Tumor classification, major neurovascular resection, requirement for in-line carotid artery reconstruction, intraoperative blood loss, and operative time, and postoperative neurovascular complications were determined.



In all, 96 patients with 101 CBTs underwent definitive resection disease. Vascular sacrifice was 2.9% (three) for the internal jugular vein, 8.9% (nine) for the external carotid artery, and 13.8% (14) for the internal carotid artery (ICA). ICA sacrifices were performed with immediate in-line arterial bypass grafting with vascular surgery. Permanent cranial neuropathies occurred in 4.9% (five) of patients, without cerebrovascular events.



We recommend surgical resection as the primary approach to the management of these CBTs. In lesions involving the ICA, we recommend vein bypass grafting. We found no differences or advantages to preoperative embolization.



4 Laryngoscope, 126:2282-2287, 2016.
Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mt. Sinai, New York, New York, U.S.A.
Moustafa
M
Mourad
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.
Masoud
M
Saman
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.
David
D
Stroman
Department of Otolaryngology-Head and Neck Surgery, Kaiser-Permanente, Denver, Colorado, U.S.A.
Ryan
R
Brown
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.. yducic@sbcglobal.net.
Yadranko
Y
Ducic
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002339:Carotid Arteries / Q000601:surgery; D020212:Carotid Artery Injuries / Q000209:etiology* / Q000601:surgery; D002345:Carotid Body Tumor / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011300:Preoperative Care / Q000009:adverse effects / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods / Q000706:statistics & numerical data*; D055815:Young Adult
Carotid body tumors; carotid artery reconstruction; carotid artery sacrifice; embolization; glomus tumor