Young N M, Wiet R J, Russell E J, Monsell E M
Chicago Otology Group, Ltd, IL.
Ann Otol Rhinol Laryngol. 1988 Nov-Dec;97(6 Pt 1):613-20. doi: 10.1177/000348948809700607.
The purpose of this report is to introduce the technique of superselective embolization (SSE) and to review our experience in surgically treating glomus jugulare tumors with and without preoperative SSE. Retrospective chart review was performed to determine estimated blood loss and operative time, and illustrative case reports are presented. The technique of preoperative SSE represents an important advance in the surgical management of glomus jugulare tumors. In our experience, surgical ligation of tumor-feeding vessels or nonselective embolization of the external carotid system is unsatisfactory. Inadequate devascularization and excessive risk of complications have caused us and others to abandon these procedures. However, SSE performed by an experienced neuroradiologist can produce effective and safer tumor devascularization. Preoperative SSE results in shrinkage of tumor size and significantly decreases blood loss. The advantages to the surgeon include improved visualization and ease of dissection as well as increased confidence that complete tumor excision has been achieved.
本报告旨在介绍超选择性栓塞（SSE）技术，并回顾我们在术前有无SSE情况下手术治疗颈静脉球瘤的经验。通过回顾性病历审查来确定估计失血量和手术时间，并呈现病例说明报告。术前SSE技术是颈静脉球瘤外科治疗的一项重要进展。根据我们的经验，手术结扎肿瘤供血血管或对外颈动脉系统进行非选择性栓塞并不理想。血管去化不足和并发症风险过高，促使我们及其他人放弃了这些操作。然而，由经验丰富的神经放射科医生进行的SSE可实现有效且更安全的肿瘤去血管化。术前SSE可使肿瘤体积缩小，并显著减少失血量。对手术医生而言，其优势包括视野改善、解剖更容易，以及更有信心实现肿瘤的完整切除。
