George B, Riché M C, Reizine D, Deffrennes D, Tran Ba Huy P
Ann Otolaryngol Chir Cervicofac. 1985;102(1):59-63.
Results obtained after excision of large jugular paragangliomas are largely conditioned by the possibility of control of the different vascular pedicles, and existing possibilities are discussed in relation to 6 briefly presented cases. The internal carotid artery can either be occluded radiologically by balloon catheter and then embolized if the artery is surrounded by a tumor, or controlled surgically if the artery is in contact with the tumor only and provides only a small proportion of its vascular supply. Whenever internal carotid artery occlusion is envisaged a clamping test by balloon under local anaesthesia is carried out initially. The vertebral artery pedicles are interrupted during surgical approach to the artery above the atlas. The value of a 2 or even 3 stage operation for excision of very large tumors with posterior fossa extension is discussed.
大型颈静脉副神经节瘤切除术后的结果在很大程度上取决于控制不同血管蒂的可能性，并结合6例简要介绍的病例讨论了现有的可能性。如果颈内动脉被肿瘤包围，可通过球囊导管进行放射学闭塞，然后进行栓塞；如果该动脉仅与肿瘤接触且仅提供其一小部分血供，则可通过手术控制。每当考虑颈内动脉闭塞时，首先在局部麻醉下通过球囊进行夹闭试验。在手术接近寰椎上方的动脉时，椎动脉蒂会被中断。讨论了采用两阶段甚至三阶段手术切除向后颅窝延伸的非常大的肿瘤的价值。
