Overview
Excision of a carotid body tumor is a surgical procedure to remove a rare, usually benign growth located at the bifurcation of the carotid artery in the neck. These tumors, known as paragangliomas, can grow and potentially cause symptoms such as difficulty swallowing, hoarseness, or pressure on nearby structures. Surgical removal is the most common treatment to prevent complications from tumor growth or to address symptoms.
Procedure
During the excision of a carotid body tumor, the surgeon makes an incision in the neck to expose the carotid artery and the tumor. The tumor is carefully separated from the artery and surrounding tissues, with great care taken to avoid damaging vital structures such as the carotid artery, nerves, and lymphatic tissue. The procedure is performed under general anesthesia and may take several hours, depending on the size and location of the tumor.
Benefits and Risks
The main benefit of carotid body tumor excision is the complete removal of the tumor, which can alleviate symptoms and prevent further complications. However, the procedure carries risks, including damage to the surrounding nerves, which can affect swallowing, speech, and shoulder function. There is also a risk of stroke due to the proximity of the carotid artery. Your surgeon will discuss these risks in detail to ensure you are fully informed before the procedure.
Recovery and Follow-Up
Recovery from carotid body tumor excision typically involves an overnight hospital stay. Pain and swelling in the neck are common but can be managed with pain relief medications, and a drain may be required. Most patients can return to normal activities within a few weeks, though full recovery may take longer depending on the complexity of the surgery. Follow-up appointments are essential to monitor for any potential complications, such as nerve damage or tumor recurrence. Regular imaging may be recommended to ensure long-term success.
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