Resection of paragangliomas

Resection of paragangliomas (e.g., carotid body tumors)

Precision Tumor Resection Safeguards Nerve Function:

Paragangliomas, such as carotid body tumors, are rare, typically benign vascular neoplasms arising at the bifurcation of the carotid artery or along other paraganglionic tissue in the neck. Surgical resection is the gold-standard therapy to prevent local invasion, cranial nerve palsies, and potential malignant transformation. The procedure demands meticulous vascular and nerve management due to the tumor’s rich blood supply and proximity to cranial nerves (IX, X, XI, XII).

Personalized Treatment Plan:

Dr. Singhavi employs preoperative contrast angiography to map the tumor’s blood supply and plan for selective embolization if indicated to reduce intraoperative bleeding. A multidisciplinary team—including vascular surgeons, anesthesiologists, and interventional radiologists—optimizes patient preparation. Under general anesthesia with neuromonitoring of lower cranial nerves, Dr. Singhavi makes a curvilinear incision along the anterior border of the sternocleidomastoid muscle. He carefully isolates the tumor from the carotid arteries, ligates feeding vessels, and uses microsurgical dissection to peel the mass from adjacent nerves. Intraoperative doppler and nerve stimulation guide safe mobilization. Following removal, he reconstructs any vascular defect with fine sutures or grafts as required. Postoperative protocols emphasize blood pressure control, cranial nerve function assessment, and gradual dietary advancement.

Benefits :

Dr. Singhavi’s expert microvascular technique ensures complete tumor excision with minimal blood loss and preservation of nerve function. Preoperative embolization further enhances surgical safety, reducing transfusion requirements. Patients experience low rates of cranial neuropathy—such as hoarseness, dysphagia, or shoulder weakness—and most recover baseline function within weeks. The precise dissection minimises scarring and preserves neck mobility. Vigilant postoperative monitoring and tailored rehabilitation foster rapid return to normal activities, and long-term surveillance confirms durable disease control with negligible recurrence.