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Contemporary Management of Jugular Paraganglioma pp 157–174Cite as

Management of Internal Carotid Artery in Skull Base Paraganglioma Surgery

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Abstract

The surgical management of skull base paragangliomas is particularly challenging as a result of their complex anatomical location, the local major neurovascular structures, and the proximity of intracranial structures. The internal carotid artery (ICA) is often involved by tympanojugular paragangliomas (TJPs) in its upper cervical and petrous portions [1]. Similarly carotid body paraganglioma and the vagal paragangliomas are also intimately related to the ICA. Early attempts to resect tumors involving the ICA were associated with high rates of morbidity and mortality [2]. However, today, significant reduction in morbidity has been achieved in the surgical management of this subset of tumors due to advances in preoperative interventional neuroradiology and refinements in skull base microsurgery [3]. To avoid intraoperative morbidity and mortality from vascular compromise, various modalities of management of the cervical and intratemporal ICA have been described. These modalities include cervical-to-petrous ICA saphenous vein bypass grafting [4], permanent balloon occlusion (PBO) [5, 6], and intravascular reinforcement with stenting [7–12].

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Authors and Affiliations

  1. Department of Neurotology and Skull Base Surgery, Gruppo Otologico, Piacenza, RM, Italy

    Sampath Chandra Prasad, Alessandra Russo, Abdelkader Taibah & Mario Sanna

  2. Department of Neuroradiology, University of Parma, Parma, Italy

    Paolo Piazza

  3. Faculty of Medicine and Surgery, Azienda Ospedaliera Universitaria Di Messina, Messina, Italy

    Francesco Galletti

Authors
  1. Sampath Chandra Prasad
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  2. Paolo Piazza
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  3. Alessandra Russo
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  4. Abdelkader Taibah
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  5. Francesco Galletti
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  6. Mario Sanna
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Corresponding author

Correspondence to Sampath Chandra Prasad .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology, Mount Sinai Health System, New York, New York, USA

    George B. Wanna

  2. Department of Otolaryngology, Mayo Clinic School of Medicine, Rochester, New York, USA

    Matthew L. Carlson

  3. Center for Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    James L. Netterville

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Prasad, S.C., Piazza, P., Russo, A., Taibah, A., Galletti, F., Sanna, M. (2018). Management of Internal Carotid Artery in Skull Base Paraganglioma Surgery. In: Wanna, G., Carlson, M., Netterville, J. (eds) Contemporary Management of Jugular Paraganglioma. Springer, Cham. https://doi.org/10.1007/978-3-319-60955-3_9

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  • DOI: https://doi.org/10.1007/978-3-319-60955-3_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60954-6

  • Online ISBN: 978-3-319-60955-3

  • eBook Packages: MedicineMedicine (R0)

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