CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL

Objective: To share five year experience and a half years with emphasis on some technical aspects which will help those managing such cases. Study Design: Descriptive case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Jul 2010 to Dec 2015. Material and Methods:...

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Autores principales:	Ahsin Manzoor Bhatti, Fazal e Haider, Junaid Mansoor
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	carotid body tumors harmonic scalpel internal carotid artery reconstruction internal carotid artery ligation Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/bb8ec6fba2224d6f807e5e5d3d00a3ca
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spelling	oai:doaj.org-article:bb8ec6fba2224d6f807e5e5d3d00a3ca2021-12-02T06:25:17ZCAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL0030-96482411-8842https://doaj.org/article/bb8ec6fba2224d6f807e5e5d3d00a3ca2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2300/1995https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To share five year experience and a half years with emphasis on some technical aspects which will help those managing such cases. Study Design: Descriptive case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Jul 2010 to Dec 2015. Material and Methods: All cases of CBT presenting to our department from Jul 2010 to Dec 2015 were included in the study and analyzed. Results: A total of 13 patients were treated at our institute in the last 5 and half years. Average age of patients was 38.5 years with a range of 22-55 years. Male to female ratio was 1:6.5. Mean interval between symptoms onset and presentation was 38.7 ± 16 months. None of the tumors were bilateral or malignant. Two patients had type I tumor (15%), seven patients had tumor of type II (54%) and four (31%) patients underwent resection for type III tumor. Type I and Type II tumor was removed by simple excision. Three cases of type III tumor were managed by excision, use of temporary shunt and followed by reconstruction of internal carotid artery. One of the type III tumor was excised with ligation of internal carotid artery. There was no mortality or stroke, three patients with type III tumors had transient dysphagia; One of them had marginal mandibular nerve palsy as well. We used bipolar diathermy in all cases, Harmonic TM Scalpel (Ethicon Endo-Surgery) in three cases and LigaSureTM (Covidien Ltd, Dublin Republic of Ireland) in three cases. Use of newer energy sources made dissection less bloody, quick and easier. Conclusion: CBT are rare tumors. Surgical excision should be carefully planned and executed with the help of modern energy sources to avoid any serious complications.Ahsin Manzoor BhattiFazal e HaiderJunaid MansoorArmy Medical College Rawalpindiarticlecarotid body tumorsharmonic scalpelinternal carotid artery reconstructioninternal carotid artery ligationMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1240-1244 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	carotid body tumors harmonic scalpel internal carotid artery reconstruction internal carotid artery ligation Medicine R Medicine (General) R5-920
spellingShingle	carotid body tumors harmonic scalpel internal carotid artery reconstruction internal carotid artery ligation Medicine R Medicine (General) R5-920 Ahsin Manzoor Bhatti Fazal e Haider Junaid Mansoor CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
description	Objective: To share five year experience and a half years with emphasis on some technical aspects which will help those managing such cases. Study Design: Descriptive case series. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Jul 2010 to Dec 2015. Material and Methods: All cases of CBT presenting to our department from Jul 2010 to Dec 2015 were included in the study and analyzed. Results: A total of 13 patients were treated at our institute in the last 5 and half years. Average age of patients was 38.5 years with a range of 22-55 years. Male to female ratio was 1:6.5. Mean interval between symptoms onset and presentation was 38.7 ± 16 months. None of the tumors were bilateral or malignant. Two patients had type I tumor (15%), seven patients had tumor of type II (54%) and four (31%) patients underwent resection for type III tumor. Type I and Type II tumor was removed by simple excision. Three cases of type III tumor were managed by excision, use of temporary shunt and followed by reconstruction of internal carotid artery. One of the type III tumor was excised with ligation of internal carotid artery. There was no mortality or stroke, three patients with type III tumors had transient dysphagia; One of them had marginal mandibular nerve palsy as well. We used bipolar diathermy in all cases, Harmonic TM Scalpel (Ethicon Endo-Surgery) in three cases and LigaSureTM (Covidien Ltd, Dublin Republic of Ireland) in three cases. Use of newer energy sources made dissection less bloody, quick and easier. Conclusion: CBT are rare tumors. Surgical excision should be carefully planned and executed with the help of modern energy sources to avoid any serious complications.
format	article
author	Ahsin Manzoor Bhatti Fazal e Haider Junaid Mansoor
author_facet	Ahsin Manzoor Bhatti Fazal e Haider Junaid Mansoor
author_sort	Ahsin Manzoor Bhatti
title	CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
title_short	CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
title_full	CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
title_fullStr	CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
title_full_unstemmed	CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL
title_sort	carotid body tumors surgery: experience of 13 cases at a tertiary care hospital
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/bb8ec6fba2224d6f807e5e5d3d00a3ca
work_keys_str_mv	AT ahsinmanzoorbhatti carotidbodytumorssurgeryexperienceof13casesatatertiarycarehospital AT fazalehaider carotidbodytumorssurgeryexperienceof13casesatatertiarycarehospital AT junaidmansoor carotidbodytumorssurgeryexperienceof13casesatatertiarycarehospital
_version_	1718399959809654784

CAROTID BODY TUMORS SURGERY: EXPERIENCE OF 13 CASES AT A TERTIARY CARE HOSPITAL

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