Research Information System
Türk Kalp ve Damar Cerrahisi Derneği 17. Kongresi 2022, Antalya, Turkey, 17 - 20 November 2022, pp.60, (Summary Text)
Background and Aim: The diagnosis of vascular lesions of the neck and its management is a challenging task that requires
a multidisciplinary approach. This study assesses the single-center experience of vascular tumors of the neck retrospectively.
Methods: Patients diagnosed with vascular tumor and/or a mass in close proximity to the carotid artery were identified from our
records for a 15-year period. The demographic characteristics, clinical features, surgical approach, and outcomes were reviewed.
Results: Surgical excision of 17 vascular lesions were performed in 29 patients with a mean age of 51.56±17.35 years at the
time of operation. Intra- and/or postoperative clinical and histological assessment revealed unilateral glomus caroticum (n=19),
glomus vagale (n=4), bilateral glomus caroticum (n=2), cavernous hemangioma (n=3), and carotid sheath tumor (n=1). In three
patients, the internal carotid artery, common carotid artery and vagal nerve were sacrificed to facilitate complete tumor excision.
During the follow-up period, no tumor recurrences were observed, and the morbidity and mortality were minimal.
Conclusion: Preoperative evaluation concerning the size, extent and anatomical relationships of the tumor should be thoroughly
investigated. The structure and vascularity of these lesions are usual keys to diagnosis. A multidisciplinary approach involving
vascular surgery, otolaryngology, and radiology is preferred to treat these patients for better outcomes. Preoperative embolization
in selected cases may decrease estimated blood loss and operative time. Early diagnosis of vascular neck tumors allows timely
treatment and minimizes the risk of cranial nerve and vessel injury