Am J Otolaryngol Head Neck Surg | Volume 6, Issue 1 | Case Report | Open Access

Management of a Case of Carotid Paraganglioma in an Under Medicalized Context: Review of the Literature

Diarra K^*, Sidibe M¹, Konate N¹, Kone FI¹, Sanogo H², Bagayoko DK³, Coulibaly D¹, Cisse N¹, Coulibaly K¹, Guindo B¹, Soumaoro S¹, Doumbia K¹ and Keita MA¹

¹Department of ENT and Cervicofacial Surgery, Gabriel Touré University Hospital, Mali
²Department of Surgery, ENT-CCF Unit, Kalabancoro Reference Health Center, Mali
³Department of Anesthesia and Resuscitation, Mother and Child University Hospital Luxembourg, Mali

^*Correspondance to: Kassim Diarra, 

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Abstract

Introduction: Paragangliomas, also called glomus tumors or chemodectomas, are neuroendocrine tumors that arise from glomus cells in paraganglia. They are rare tumors, accounting for about 0.6% of head and neck tumors and about 0.03% of all tumors. We want, through a clinical case, to highlight the clinical and diagnostic aspects, the therapeutic difficulties and to review the literature. Case Report: A 38-year-old woman, admitted to the department for a right submandibular tumefaction progressively evolving for four (4) years without any notion of dysphagia, dyspnea, dysphonia, or peripheral facial paralysis, nor rhinology. He had no notion of fever or associated pain. She had no surgical medical history. The physical examination found a subangular mandibular tumefaction about 5 cm in diameter on its long axis, of regular outline, not painful on palpation, pulsatile, the overlying skin looked normal. Examination of the oral cavity found a tumor developed behind the right posterior pillar which pushed the amygdala forwards and inwards causing a slight deviation of the uvula towards the contralateral side. Cervical CT showed a right laterocervical hypervascularized mass. The tumor was classified as Shamblin II. Surgical excision without embolization was performed under general anesthesia and local healing of the wound was obtained after 10 postoperative days. Histological examination revealed a carotid paraganglioma. No recurrence was noted with a follow-up of 12 months. Conclusion: Early diagnosis and surgery are guarantees of a good prognosis.

Keywords:

Paraganglioma; Carotid; Surgery; Embolization

Citation:

Diarra K, Sidibe M, Konate N, Kone FI, Sanogo H, Bagayoko DK, et al. Management of a Case of Carotid Paraganglioma in an Under Medicalized Context: Review of the Literature. Am J Otolaryngol Head Neck Surg. 2023; 6(1): 1222..