Pantanowitz D, Davidge-Pitts K, Demetriades D
Department of Surgery, University of the Witwatersrand, Johannesburg.
S Afr Med J. 1991 Oct 5;80(7):318-21.
This is a retrospective report on 22 patients with carotid body tumours (intercarotid paragangliomas or carotid chemodectomas) treated by excision using either the dissection technique or en bloc resection. The type of operation to be carried out can be predicted pre-operatively by measuring the carotid bifurcation angle or degree of splaying of the carotid arteries. An angle of less than 90 degrees implies that the tumour can be dissected off the internal carotid artery. An angle of more than 90 degrees implies that it will probably require en bloc resection, including the carotid bifurcation, followed by carotid reconstruction.
这是一篇关于22例颈动脉体瘤（颈总动脉旁神经节瘤或颈动脉化学感受器瘤）患者的回顾性报告，这些患者采用解剖技术或整块切除的方式进行了肿瘤切除。术前通过测量颈动脉分叉角度或颈动脉的展开程度，可以预测应进行的手术类型。角度小于90度意味着肿瘤可以从颈内动脉上剥离下来。角度大于90度意味着可能需要包括颈动脉分叉在内的整块切除，随后进行颈动脉重建。
