Semin Surg Oncol. 1987 ; 3(4): 228-32.
Planned simple carotid resection in surgery of paraganglioma fixed to the carotid artery.
Department of Head and Neck Surgery, Tianjin Cancer Institute and Hospital, People's Republic of China.
Of 25 surgically treated cases (1956-1986) of paraganglioma, eleven underwent simple carotid resection. The collateral cerebral crossflow was promoted preoperatively with the use of compressing exercises of the carotid artery and controlled by rheoencephalography. There was no operative mortality. One died with a malignant lesion, and nine survived 3 months to 21 years without cerebrovascular complications. It appears that this procedure is worthwhile in selected cases.