Author(s)

Florence A. O. Oguntade¹, Moses Ayodele Akinola^2*, Oluwapelumi O. Olusoga-Peters³, Bukola Adesola Olayinka⁴, Rachael Adetola Adeoti⁵

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

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).

Anaesthesia, Carotid Body Tumour, Excision, Complications

Oguntade, F. , Akinola, M. , Olusoga-Peters, O. , Olayinka, B. and Adeoti, R. (2023) Anaesthetic Management and Challenges for Carotid Body Tumour Excision in a Young Nigerian: A Case Report and Review of Literature. Case Reports in Clinical Medicine, 12, 139-147. doi: 10.4236/crcm.2023.125020.