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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Main Authors:	Raja Lope Ahmad, Raja Ahmad Al'konee, Sivalingam, Shailendra, Konishi, Masaya, De Donato, Giuseppe, Sanna, Mario
Format:	Article
Language:	English
Published:	Wiley Periodicals 2013
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/1/Oncologic_outcome_in_surgical_management.pdf

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recordtype	eprints
spelling	iium-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 PeerReviewed 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
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RF Otorhinolaryngology
spellingShingle	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
description	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.
format	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
author_sort	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
title_sort	oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes
publisher	Wiley Periodicals
publishDate	2013
url	http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/ http://irep.iium.edu.my/23821/1/Oncologic_outcome_in_surgical_management.pdf
first_indexed	2023-09-18T20:35:58Z
last_indexed	2023-09-18T20:35:58Z
_version_	1777409047504355328

Oncologic outcome in surgical management of jugular paraganglioma and factors influencing outcomes

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