TY  - JOUR
TI  - An Overview of Vagal Paraganglioma Surgery:
Evaluation of Operative Morbidities and Quality of
Life After Surgery
AB  - Objective: To analyze postoperative morbidity and quality of life of surgically treated
patients for vagal paraganglioma.
Methods: Preoperative symptoms and findings, presence of cranial nerve paralysis,
radiological findings, surgical techniques, perioperative, and postoperative complications were analyzed retrospectively. Washington University Quality of Life
Questionnaire (UW-QOL) was used to evaluate the quality of life of the patients.
Results: Of the 11 patients, 8 were women and 3 were men with an age distribution of
22-70 (mean age, 49.9 years). Two patients had vocal cord paralysis and 1 patient had
hypoglossal nerve paresis preoperatively. In 5 patients, the vagus nerve was partially
resected; vocal cord movements recovered within 6 months in 2 out of 5 (40%). The
continuity of the nerve could not be preserved in the remaining 6 patients, Ishiki type
1 medialization thyroplasty was performed in 4 (44.4%). In 3 patients, the hypoglossal
nerve was invaded by the tumor and was sacrificed. Temporary facial paresis occurred
in 3 patients who were operated on with transcervical-transparotid approach.
Complete recovery was achieved in all within 3 months. In a patient with an extensively large tumor, carotid bypass surgery was performed with the saphenous vein.
Except for one patient, the mean scores of all patients were above 90 with UW-QOL.
Conclusion: Surgery, which is the only curative treatment method, may not cause a
significant change in the postoperative quality of life in well-selected cases. Trying
to protect the vagus nerve by dissecting it as much as possible and rehabilitation with
Isshiki type 1 thyroplasty in case of aspiration are key points.
AU  - Başaran, Bora
AU  - Kılıç, Halime
AU  - Sen, Comert
AU  - ÜNSALER, SELİN
DO  - 10.5152/entupdates.2021.21056
PY  - 2021
JO  - ENT Updates
VL  - 11
IS  - 3
SN  - 2149-7109
SP  - 153
EP  - 159
DB  - TRDizin
UR  - http://search/yayin/detay/519442
ER  -