Carotid Body Tumour
Carotid Body Tumour
Fig.1 Carotid angiogram shows splaying of internal and external carotid artery by the tumour. Known as Lyre sign.
Fig.2 MRI axial section just above the bifurcation. Tumour is seen between external carotid (green arrow) and internal carotid (yellow arrow). Tumour doesn’t cover the entire circumference of these vessels.
Fig.3 MRI axial section at a higher level. Tumour is seen between external carotid (green arrow) and internal carotid (yellow arrow). Tumour doesn’t cover the entire circumference of these vessels.
Fig.4 Intraoperative picture. Tumour (yellow star) seen splaying external carotid artery (ECA) and internal carotid artery (ICA). CCA – common carotid artery.
Fig.5 After resection of tumour. CCA, ICA, ECA, spinat accessory nerve (XI) and hypoglossal nerve (XII) are seen.
Fig.6 Excised tumour. Inferior surface has a groove (yellow arrow) formed by the ICA & ECA.
Carotid body tumour - Resection of tumour & artery
Fig.1 Intra-op picture of dissection of large carotid body tumour surrounding CCA, ECA and ICA. Subadventitial dissection (yellow arrow) lead to thinning of ICA (green arrow). Tumour was resected with vessls and ICA was grafted.
Fig.2 Specimen of another case where the tumour was resected with CCA, ECA & ICA.
Fig.3 Carotid shunt is used to maintain the flow through ICA during resection and grafting.
Fig.4 Vein graft used between ICA and CCA.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)