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Management of vagal paraganglioma: Is operative resection really the best option?
- Source :
- Surgery. 137:225-228
- Publication Year :
- 2005
- Publisher :
- Elsevier BV, 2005.
-
Abstract
- Background Vagal paragangliomas cannot be resected without sacrifice of the vagal nerve. The risk of bilateral vocal cord palsy has been reason to postpone treatment of this benign and slow growing neoplasm in hereditary cases. Postponement could be considered for solitary cases as well. Methods An institute-based review of 48 patients with vagal paragangliomas over the past 30 years was performed. Results Forty-eight patients with 58 vagal paragangliomas were studied. All but 4 patients had multiple paragangliomas and should be considered hereditary cases. The 10 patients that underwent an operation lost the vagal nerve; 60% of them had additional cranial nerve palsy postoperatively. In the group of patients who were followed for an average period of 8.5 years, 3 patients (8%) developed cranial nerve palsy. Conclusions Aggressive treatment of vagal paragangliomas leads to unnecessary early loss of vagal nerve function. A period of clinical and radiologic follow-up preceding an operation may lead to prolonged preservation of voice and swallowing functions in these patients, without grave consequences for other lower cranial nerves.
- Subjects :
- Adult
Male
Vagus Nerve Diseases
medicine.medical_specialty
Vagal nerve
Cranial nerve palsy
Resection
Neoplasms, Multiple Primary
Paraganglioma
Postoperative Complications
Swallowing
Risk Factors
medicine
Humans
Cranial Nerve Neoplasms
Vocal Cord Palsy
Vagal paraganglioma
Aged
business.industry
digestive, oral, and skin physiology
Cranial nerves
Vagus Nerve
Middle Aged
medicine.disease
Cranial Nerve Diseases
Surgery
Female
business
Subjects
Details
- ISSN :
- 00396060
- Volume :
- 137
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....39dc8f8838d4f354cb162786e1523527