Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes
Background. The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas. Methods. The surgical records of 121 cases of jugular paraganglioma(Fisch classifications C and D) were reviewed. Results. The average follow-up was...
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my.iium.irep.238212014-08-03T09:05:08Z http://irep.iium.edu.my/23821/ Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes Raja Lope Ahmad, Raja Ahmad Al'konee Sivalingam, Shailendra Konishi, Masaya De Donato, Giuseppe Sanna, Mario RF Otorhinolaryngology Background. The purpose of this study was to identify the factors that may influence the management outcome in patients with jugular paragangliomas. Methods. The surgical records of 121 cases of jugular paraganglioma(Fisch classifications C and D) were reviewed. Results. The average follow-up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE. Conclusion. The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement. Wiley Periodicals 2013-04 Article REM application/pdf en http://irep.iium.edu.my/23821/1/Oncologic_outcome_in_surgical_management.pdf Raja Lope Ahmad, Raja Ahmad Al'konee and Sivalingam, Shailendra and Konishi, Masaya and De Donato, Giuseppe and Sanna, Mario (2013) Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 34 (4). pp. 527-534. ISSN 1043-3074 http://www.ncbi.nlm.nih.gov/pubmed/22544660 10.1002/hed.22987 |
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RF Otorhinolaryngology Raja Lope Ahmad, Raja Ahmad Al'konee Sivalingam, Shailendra Konishi, Masaya De Donato, Giuseppe Sanna, Mario Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
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Background. The purpose of this study was to identify the
factors that may influence the management outcome in patients with jugular paragangliomas.
Methods. The surgical records of 121 cases of jugular paraganglioma(Fisch classifications C and D) were reviewed.
Results. The average follow-up was 88 months. Intracranial extension (ICE; Fisch classification De and Di) constitutes 55.4% of the cases. Two cases had a malignant jugular paraganglioma. Complete tumor resection was achieved in 81.8% of the cases, and there was evidence of recurrence in 4.0% from this group. Surgical tumor control was achieved in 96% of cases. Perioperative complications consisted mainly of cerebrospinal fluid leakage in 1.6% of the cases. The lower cranial nerve (CN) was preserved in 63% of the patients mainly in the cases without ICE.
Conclusion. The infratemporal fossa approach type A allows for complete tumor resection with low perioperative morbidity and recurrence rates. The significant influential factors were the severity of ICE and internal carotid artery involvement.
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Article |
author |
Raja Lope Ahmad, Raja Ahmad Al'konee Sivalingam, Shailendra Konishi, Masaya De Donato, Giuseppe Sanna, Mario |
author_facet |
Raja Lope Ahmad, Raja Ahmad Al'konee Sivalingam, Shailendra Konishi, Masaya De Donato, Giuseppe Sanna, Mario |
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Raja Lope Ahmad, Raja Ahmad Al'konee |
title |
Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
title_short |
Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
title_full |
Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
title_fullStr |
Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
title_full_unstemmed |
Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
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oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes |
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Wiley Periodicals |
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2013 |
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http://irep.iium.edu.my/23821/1/Oncologic_outcome_in_surgical_management.pdf http://irep.iium.edu.my/23821/ http://www.ncbi.nlm.nih.gov/pubmed/22544660 |
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