Therapeutic role of selective preoperative embolization in patients with paragangliomas of head and neck

Igor Sekulić; Aleksandar Jovanovski; Dejan Kostić; Srboljub Stošić; Jelena Bošković-Sekulić; Jelena Stevanović; Nemanja Rančić

doi:10.2298/VSP190809121S

Igor Sekulić Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Aleksandar Jovanovski Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Dejan Kostić Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Srboljub Stošić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Jelena Bošković-Sekulić Clinical Center Kragujevac, Center for Urgent Medicine, Kragujevac, Serbia
Jelena Stevanović Military Medical Academy, Institute of Radiology, Belgrade, Serbia
Nemanja Rančić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP190809121S

Keywords: blood transfusion, embolization, therapeutic, head and neck, neoplasms, paraganglioma, preoperative period, treatment, outcome

Abstract

Background/Aim. Paragongliomas are rare hypervascular neoplasms. The aim of this study was to present the experience in the treatment of paragangliomas using preoperative embolization. Methods. This retrospective cross-sectional study included 10 patients (7 women and 3 men; median age 55 years) with paragangliomas that were embolized before surgery. Results. Three patients had tympanicum paragangliomas, two carotid bodies, three jugular and two jugulare-tympanicum paragangliomas. During the operation, only one out of 10 patients had bleeding which required blood transfusion. This patient received 1,130 mL of blood transfusion due to surgical complication. Conclusion. Adequate preoperative selective embolization of paragangliomas is essential in the preoperative preparation of these patients, because this strategy is feasible with low complication rates.

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