ENT Updates
Original Article

An Overview of Vagal Paraganglioma Surgery: Evaluation of Operative Morbidities and Quality of Life After Surgery

1.

Department of Otolaryngology Head and Neck Surgery, Koç University School of Medicine, Istanbul, Turkey

2.

Department of Otolaryngology Head and Neck Surgery, Istanbul University School of Medicine, Istanbul, Turkey

ENT Updates 2021; 11: 153-159
DOI: 10.5152/entupdates.2021.21056
Read: 414 Downloads: 64 Published: 10 November 2021

Objective: To analyze postoperative morbidity and quality of life of surgically treated patients for vagal paraganglioma.

Methods: Preoperative symptoms and findings, presence of cranial nerve paralysis,
radiological findings, surgical techniques, perioperative, and postoperative complications were analyzed retrospectively. Washington University Quality of Life Questionnaire (UW-QOL) was used to evaluate the quality of life of the patients.

Results: Of the 11 patients, 8 were women and 3 were men with an age distribution of 22-70 (mean age, 49.9 years). Two patients had vocal cord paralysis and 1 patient had
hypoglossal nerve paresis preoperatively. In 5 patients, the vagus nerve was partially resected; vocal cord movements recovered within 6 months in 2 out of 5 (40%). Thecontinuity of the nerve could not be preserved in the remaining 6 patients, Ishiki type 1 medialization thyroplasty was performed in 4 (44.4%). In 3 patients, the hypoglossalnerve was invaded by the tumor and was sacrificed. Temporary facial paresis occurred in 3 patients who were operated on with transcervical-transparotid approach. Complete recovery was achieved in all within 3 months. In a patient with an extensively large tumor, carotid bypass surgery was performed with the saphenous vein. Except for one patient, the mean scores of all patients were above 90 with UW-QOL.

Conclusion: Surgery, which is the only curative treatment method, may not cause a significant change in the postoperative quality of life in well-selected cases. Trying to protect the vagus nerve by dissecting it as much as possible and rehabilitation with Isshiki type 1 thyroplasty in case of aspiration are key points.

Cite this article as: Ünsaler S, Kılıç H, Şen C, Başaran B. An overview of vagal paraganglioma surgery: Evaluation of operative morbidities and quality of life after surgery. ENT Updates. 2021;11(3):153-159.

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