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Vagal Paragangliomas: From Reducing Morbidity to Improving Quality of Life

  • Manzoor A. Latoo
  • Mushtaq A. Sangoo
  • Kiran Bala
Original Article

Abstract

Vagal paragangliomas are rare tumors. Advances in the imaging have aided the diagnosis and assessment of this disease. Surgery is the mainstay of the treatment however radiotherapy has been tried in the selected cases. Surgery is associated with some mortality but with a lot of morbidity in view of cranial nerve deficit. The necessity to prevent additional cranial nerve deficits needs thorough preoperative evaluation and influences the therapeutic approach. This study involves the retrograde evaluation of five patients of vagal paraganglioma histopathologically confirmed, all the patients were operated via trancervical approach. Preoperatively three of five had 9, 11 and 12th cranial nerve involvement, one had horner’s syndrome. Postoperative vocal rehabilitation was done in all the patient by medialisation thyroplasty Issiki type 1. Though vagal paragangliomas are associated with mortality and morbidity. Surgical treatment should aim at reducing mortality. Vagal nerve morbidity can be taken care as a planned and staged procedure mainly involving restoring voice as rest of concerns are taken care by compensation from opposite nerves.

Keywords

Vagal paraganglioma Morbidity Quality of life MR angiogram Thyroplasty 

References

  1. 1.
    Browne D, Fischetal U (1993) Surgical therapy of glomus vagale tumors. Skull Base Surgery 3(4):182–192CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Netterville JL, Jackson G et al (1998) Vagal paraganglioma: a review of 46 patients treated during a 20 year period. Arch Otolaryngol Head Neck Surg 124(10):1133–1140CrossRefPubMedGoogle Scholar
  3. 3.
    Paal E, Chung EM (2007) Head and neck pathology-radiology classics: vagal paraganglioma. Head Neck Pathol 1:35–37CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Moreno-Garcia C, Gonzalez-Garcia R et al (2015) Vagus nerve paraganglioma: radiological features we should be aware of. J Maxillofac Oral Surg 14(4):1013–1015CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Taïeb D, Kaliski A, Boedeker CC, Martucci V, Fojo T, Adler JR Jr, Pacak K (2014) Current approaches and Recent developments in the management of head and neck paragangliomas. Endocr Rev 35(5):795–819CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Zanoletti E, Mazzoni A (2006) Vagal paraganglioma. Skull Base 16:161–168CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Heyes R, Taki N, Leary MA (2017) Vagal paraganglioma presenting as a neck mass associated with cough on palpation. Case Reports in Otolaryngology 2017.  https://doi.org/10.1155/2017/7603814
  8. 8.
    Cavallaro G, Pattaro G et al (2015) A literature review on surgery for cervical vagal schwannomas. World J Surg Oncol 13:130CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Caldarelli C, Lacconi C (2007) Vagal paragangliomas: two case reports. Acta Otorhinolaryngol Ital 27:139PubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Manzoor A. Latoo
    • 1
  • Mushtaq A. Sangoo
    • 1
  • Kiran Bala
    • 1
  1. 1.Department of ENT and HNSGMCSrinagarIndia

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