Less-aggressive surgical management and long-term outcomes of jugular foramen paragangliomas: a neurosurgical perspective.
First author:Da Li
Corresponding author:Junting Zhang
2016-11-01
Journal:J Neurosurg
Publication type: Research Article
IF(IF): 5.115
PMID: 26918473 Link To Pubmed Full text Download
Clinical charts and radiological information were reviewed retrospectively in 51 consecutive cases of JFPs. Less-aggressive surgical interventions were adopted with the goal of preserving neurovascular structures. Scheduled follow-up was performed
Surgical outcomes for JFPs were acceptable using a less-aggressive surgical strategy. Most patients could adapt to surgical morbidities and carry out normal life activities. Preserving neurological function was a priority, and maximal decompression with or without radiotherapy was desirable to preserve a patient’s quality of life when radical resection was not warranted. Early surgery plus preoperative devascularization was proposed, and radiotherapy was mandatory for lesions with pathological mitosis.