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Challenging carotid body tumor resection.

Anne Kelly Rhudy¹, Stephen Hohmann¹, Lance Oxford²

¹Department of Vascular Surgery, Baylor University Medical Center, Dallas, Texas, USA.

Proceedings (Baylor University. Medical Center)

|April 28, 2025

Summary

This study presents a combined embolization and surgical approach for difficult Shamblin type III carotid body tumors. Postoperative vocal cord paralysis and cricopharyngeal achalasia were successfully treated with targeted injections.

Keywords:

Carotid body tumor Shamblin head and neck surgery

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Area of Science:

Neurosurgery
Vascular Surgery
Otolaryngology

Background:

Carotid body tumors (CBTs) are rare paragangliomas, with Shamblin type III representing the most advanced and challenging cases requiring complex surgical management.
Multidisciplinary approaches are essential for optimizing outcomes in patients with large or invasive CBTs.

Observation:

A patient with a Shamblin type III carotid body tumor presented with significant surgical challenges.
Postoperative complications included vocal cord paralysis and cricopharyngeal achalasia, impacting swallowing and voice function.

Findings:

A multidisciplinary treatment strategy involving preoperative embolization followed by surgical resection was successfully employed for the Shamblin type III carotid body tumor.
Botulinum toxin and hyaluronic acid gel injections effectively resolved the postoperative vocal cord paralysis and cricopharyngeal achalasia.

Implications:

This combined embolization and surgical resection technique offers a viable option for managing complex carotid body tumors.
Targeted minimally invasive injections provide an effective treatment for specific postoperative neurological deficits, improving patient recovery and quality of life.