Thomassin J M, Zanaret M, Inedjian J M, Canale H, Cannoni M, Pech A
Rev Laryngol Otol Rhinol (Bord). 1989;110(2):213-7.
Diagnostic and surgical features of lateral cervical chemodectomas are discussed in relation to a personal series of 16 patients with carotid body tumors and 10 with tumors of the intravagal glomus. Clinically, these affections are poor in symptomatology, those of the carotid glomus presenting as an isolated cervical tumor, intravagal glomus tumors as parapharyngeal masses of the restrostyloid type. Arteriographic findings are discussed in detail, as they constitute the only pathognomonic signs, enable differentiation between the two tumor sites, and supply essential pre-operative data: location of the pedicles, possible invasion of arterial walls, and the limits of the tumor. Surgical approach should be wide to enable control of the distal end of the internal carotid artery, if necessary under the base of the cranium, excision of the tumor usually being possible by employing the sub-adventitial resection technique.
结合16例颈动脉体瘤患者和10例迷走神经内球瘤患者的个人病例系列，探讨了外侧颈化学感受器瘤的诊断和手术特征。临床上，这些疾病的症状表现不明显，颈动脉球瘤表现为孤立的颈部肿瘤，迷走神经内球瘤表现为茎突后型咽旁肿块。详细讨论了动脉造影结果，因为它们是唯一的特征性体征，能够区分两个肿瘤部位，并提供重要的术前数据：蒂的位置、动脉壁可能的侵犯情况以及肿瘤的边界。手术入路应广泛，以便在必要时能够控制颈内动脉的远端，甚至在颅底下方进行控制，通常采用外膜下切除技术即可切除肿瘤。
