Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up
Objective: To investigate head and neck paraganglioma cases treated at a tertiary center from 2007 to 2023. The research includes a thorough examination of published studies that have focused on long-term outcomes. The additional goal is to contribute to the existing knowledge on head and neck parag...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-09-01
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| Series: | Medeniyet Medical Journal |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-91668 |
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| author | Gokce AYDEMIR Fazil Necdet ARDIC Cuneyt Orhan KARA Ferda BIR |
| author_facet | Gokce AYDEMIR Fazil Necdet ARDIC Cuneyt Orhan KARA Ferda BIR |
| author_sort | Gokce AYDEMIR |
| collection | DOAJ |
| description | Objective: To investigate head and neck paraganglioma cases treated at a tertiary center from 2007 to 2023. The research includes a thorough examination of published studies that have focused on long-term outcomes. The additional goal is to contribute to the existing knowledge on head and neck paraganglioma, with a particular emphasis on refining diagnostic algorithms, treatment selection, and follow-up procedures.
Methods: A total of 44 patients were retrospectively analyzed, and 39 were included. Demographic information, symptoms, radiological examination results, types, stages, and postoperative complications were recorded. A review was conducted to select articles that reported single-center experiences with large cohorts, long follow-ups, and different treatment modalities since 2010.
Results: The mean age of the patients was 54 years, and the female/male ratio was 3.55: 1. Among the 39 cases examined, 18 and 19 were identified as cervical paraganglioma and 19 as temporal bone paraganglioma. All patients initially underwent surgical resection. The mean follow-up duration was 5.42 years. Four residual cases and two recurrences were identified postoperatively, and a Gamma Knife was used as additional treatment. Subsequently, 17 articles were selected and summarized, and then a flowchart was prepared showing the possible options for diagnosis, treatment, and follow-up.
Conclusions: Preoperative staging is essential for surgical planning and predicting potential intraoperative complications. Based on our findings and review of the articles, we have prepared a flowchart that includes all possibilities depending on the tumor stage to help in the diagnosis, treatment, and follow-up of head and neck paragangliomas. |
| format | Article |
| id | doaj-art-b6097002b19442ba9447c10dbbb91b3a |
| institution | Kabale University |
| issn | 2149-2042 2149-4606 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Medeniyet Medical Journal |
| spelling | doaj-art-b6097002b19442ba9447c10dbbb91b3a2025-01-29T10:22:46ZengGalenos Publishing HouseMedeniyet Medical Journal2149-20422149-46062024-09-0139319220310.4274/MMJ.galenos.2024.91668MEDJ-91668Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-upGokce AYDEMIR0Fazil Necdet ARDIC1Cuneyt Orhan KARA2Ferda BIR3Pamukkale University Faculty of Medicine, Department of Otorhinolaryngology and Head and Neck Surgery, Denizli, TürkiyePamukkale University Faculty of Medicine, Department of Otorhinolaryngology and Head and Neck Surgery, Denizli, TürkiyePamukkale University Faculty of Medicine, Department of Otorhinolaryngology and Head and Neck Surgery, Denizli, TürkiyePamukkale University Faculty of Medicine, Department of Medical Pathology, Denizli, TürkiyeObjective: To investigate head and neck paraganglioma cases treated at a tertiary center from 2007 to 2023. The research includes a thorough examination of published studies that have focused on long-term outcomes. The additional goal is to contribute to the existing knowledge on head and neck paraganglioma, with a particular emphasis on refining diagnostic algorithms, treatment selection, and follow-up procedures. Methods: A total of 44 patients were retrospectively analyzed, and 39 were included. Demographic information, symptoms, radiological examination results, types, stages, and postoperative complications were recorded. A review was conducted to select articles that reported single-center experiences with large cohorts, long follow-ups, and different treatment modalities since 2010. Results: The mean age of the patients was 54 years, and the female/male ratio was 3.55: 1. Among the 39 cases examined, 18 and 19 were identified as cervical paraganglioma and 19 as temporal bone paraganglioma. All patients initially underwent surgical resection. The mean follow-up duration was 5.42 years. Four residual cases and two recurrences were identified postoperatively, and a Gamma Knife was used as additional treatment. Subsequently, 17 articles were selected and summarized, and then a flowchart was prepared showing the possible options for diagnosis, treatment, and follow-up. Conclusions: Preoperative staging is essential for surgical planning and predicting potential intraoperative complications. Based on our findings and review of the articles, we have prepared a flowchart that includes all possibilities depending on the tumor stage to help in the diagnosis, treatment, and follow-up of head and neck paragangliomas.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-91668head and neck paragangliomasurgeryradiation therapyglomus tumorsstaging paraganglioma |
| spellingShingle | Gokce AYDEMIR Fazil Necdet ARDIC Cuneyt Orhan KARA Ferda BIR Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up Medeniyet Medical Journal head and neck paraganglioma surgery radiation therapy glomus tumors staging paraganglioma |
| title | Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up |
| title_full | Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up |
| title_fullStr | Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up |
| title_full_unstemmed | Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up |
| title_short | Head and Neck Paragangliomas: 16-year Single-center Experience and Mini Review on Diagnosis, Treatment, and Follow-up |
| title_sort | head and neck paragangliomas 16 year single center experience and mini review on diagnosis treatment and follow up |
| topic | head and neck paraganglioma surgery radiation therapy glomus tumors staging paraganglioma |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=medeniyet&un=MEDJ-91668 |
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