Meyer F B, Sundt T M, Pearson B W
J Neurosurg. 1986 Mar;64(3):377-85. doi: 10.3171/jns.1986.64.3.0377.
Carotid body tumors are a rare but potentially difficult surgical entity. Their pathology, physiology, and natural history are reviewed along with surgical results reported in the literature. A surgical approach for removal of these tumors is presented which differs significantly from the recommended techniques in that emphasis is placed on intraoperative monitoring of cerebral blood flow, the the selective use of shunts, a tumor-adventitial plane of dissection, preservation of the carotid artery complex, and mobilization of the parotid gland. Thirteen cases using these techniques are reviewed. The mortality rate and the incidence of cerebrovascular sequelae were both 0%. The major morbidity consisted of injury to the lower cranial nerves in five patients (39%) with tumors larger than 5 cm in length.
颈动脉体瘤是一种罕见但手术难度较大的疾病。本文回顾了其病理、生理及自然病程，并结合文献报道的手术结果进行分析。文中介绍了一种切除此类肿瘤的手术方法，该方法与推荐技术有显著不同，强调术中对脑血流的监测、分流的选择性使用、肿瘤-外膜分离平面、颈动脉复合体的保留以及腮腺的游离。本文回顾了采用这些技术的13例病例。死亡率和脑血管后遗症发生率均为0%。主要并发症为5例（39%）肿瘤长度大于5 cm的患者出现下颅神经损伤。
