Anaesthetic Management and Challenges for Carotid Body Tumour Excision in a Young Nigerian: A Case Report and Review of Literature  

作　　者：Florence A. O. Oguntade Moses Ayodele Akinola Oluwapelumi O. Olusoga-Peters Bukola Adesola Olayinka Rachael Adetola Adeoti Florence A. O. Oguntade;Moses Ayodele Akinola;Oluwapelumi O. Olusoga-Peters;Bukola Adesola Olayinka;Rachael Adetola Adeoti(Anaesthesia Unit, Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun State, Nigeria;Otorhinolaryngology Unit, Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun State, Nigeria;Otorhinolaryngology Unit, Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria;Department of Anaesthesia, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria;Department of Otorhinolaryngology, Warwick Hospital, Warwick, UK)

机构地区：[1]Anaesthesia Unit, Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun State, Nigeria [2]Otorhinolaryngology Unit, Department of Surgery, Ben Carson College of Health and Medical Sciences, Babcock University, Ilishan Remo, Ogun State, Nigeria [3]Otorhinolaryngology Unit, Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria [4]Department of Anaesthesia, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria [5]Department of Otorhinolaryngology, Warwick Hospital, Warwick, UK

出　　处：《Case Reports in Clinical Medicine》2023年第5期139-147,共9页临床医学病理报告（英文）

摘　　要：Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked intraoperative hemodynamic instability and turbulent postoperative recovery. Attention to details and a meticulous anesthetic plan are essential for successful anesthetic management. Aim: To present anaesthetic management and challenges for carotid body tumour excision in a young Nigerian. Case Presentation: A 26-year-old man presented with left sided slow growing neck tumour. The tumour was completely excised with no anaesthetic or surgical complication. Histology and immunohistochemistry of the excised tumour confirmed paraganglioma. He was discharged fifteenth post-operative day. Conclusion: General anesthesia is the preferred technique. The basic elements of anesthetic management are protection of hemodynamic stability and maintenance of cerebral perfusion pressure (CPP).Background: Carotid body tumours (CBTs) are rare tumours that arise from chemoreceptor cells at the bifurcation of carotid artery. Excision of CBT poses several anesthetic challenges and may be complicated with marked intraoperative hemodynamic instability and turbulent postoperative recovery. Attention to details and a meticulous anesthetic plan are essential for successful anesthetic management. Aim: To present anaesthetic management and challenges for carotid body tumour excision in a young Nigerian. Case Presentation: A 26-year-old man presented with left sided slow growing neck tumour. The tumour was completely excised with no anaesthetic or surgical complication. Histology and immunohistochemistry of the excised tumour confirmed paraganglioma. He was discharged fifteenth post-operative day. Conclusion: General anesthesia is the preferred technique. The basic elements of anesthetic management are protection of hemodynamic stability and maintenance of cerebral perfusion pressure (CPP).

关 键 词：ANAESTHESIA Carotid Body Tumour EXCISION COMPLICATIONS 

分 类 号：R74[医药卫生—神经病学与精神病学]