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<p>Vagal paragangliomas (VPGLs) of the neck are rare, nonchromaffin tumors originating from the vagus nerve’s cell bodies. Their nonspecific clinical symptoms make them challenging to distinguish from other parapharyngeal space lesions. This study presents our experience over the past five years, focusing on the clinical presentation, surgical techniques, and radiological assessment of VPGLs compared to other parapharyngeal space tumors. A hospital based observational cross-sectional study of 15 VPGLs patients with an age range of 21-45 years during the period of 2019 to 2024. All patients presented with complaints of slowly progressive anterolateral neck swelling. 2 of the patients had preoperative voice deficit. Further investigations (CTscan and MRI) lead to probable diagnosis of VPGLs. Surgical excision is the mainstay of treatment and all patients underwent transcervical excision of the tumor. The tumor was resected with preserving the vagus nerve in almost all cases. Temporary hoarseness of voice was noted postoperatively in 3 patients, which recovered with steroids course. Diagnosis was established post-operatively through histopathological examination. VPGLs are rare tumors that pose surgical challenges due to their proximity to critical structures. A thorough understanding of parapharyngeal space anatomy, along with precise imaging and careful surgical planning, is crucial for safe and effective management.</p>

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Insights and Outcomes: A 5-Year Experience with Vagal Paragangliomas

  • 期刊论文

  • 发表日期：

    2025年8月7日

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  • Anjali Gupta,
  • Priya Dogra,
  • Raghav Mehta,
  • Akshay Jain

摘要

Vagal paragangliomas (VPGLs) of the neck are rare, nonchromaffin tumors originating from the vagus nerve’s cell bodies. Their nonspecific clinical symptoms make them challenging to distinguish from other parapharyngeal space lesions. This study presents our experience over the past five years, focusing on the clinical presentation, surgical techniques, and radiological assessment of VPGLs compared to other parapharyngeal space tumors. A hospital based observational cross-sectional study of 15 VPGLs patients with an age range of 21-45 years during the period of 2019 to 2024. All patients presented with complaints of slowly progressive anterolateral neck swelling. 2 of the patients had preoperative voice deficit. Further investigations (CTscan and MRI) lead to probable diagnosis of VPGLs. Surgical excision is the mainstay of treatment and all patients underwent transcervical excision of the tumor. The tumor was resected with preserving the vagus nerve in almost all cases. Temporary hoarseness of voice was noted postoperatively in 3 patients, which recovered with steroids course. Diagnosis was established post-operatively through histopathological examination. VPGLs are rare tumors that pose surgical challenges due to their proximity to critical structures. A thorough understanding of parapharyngeal space anatomy, along with precise imaging and careful surgical planning, is crucial for safe and effective management.