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Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
[Jugulotympanic glomus tumors: a report of 11 cases]
1Department of Otorhinolaryngology, Affiliated Hospital, Shandong Medical University, Jinan 250012, China. wangyu@jn-public.sd.cninfo.net
Objective:
To evaluate the surgical technique in removal of jugulotympanic glomus tumor.
Methods:
Retrospective analysis of surgical techniques and effects of the surgical treated 11 cases (1982-1998) of jugulotympanic glomus tumors (tympanic type I, 1, II, 1, IV, 3; jugular type I, 1, III, 5).
Results:
The tumors of all 11 patients were removed completely and the wounds healed smoothly. Only one case had postoperative laryngeal nerve paralysis. There was no recurrence after 1-8 years follow-up.
Conclusion:
Suitable surgical techniques are available for removal of jugulotympanic glomus tumors and are chosen according to the size and location of the tumor. Postauricular incision is suitable for Glomous tympanicum Type II, III, IV. Since postauricular incision with superior and inferior extension provides a good exposure of the neck and temporal bone, it is suitable for surgical removal of Glomus jugulare type I. In case of Glomus jugulare type III, postauricular large "C" incision may be chosen for resection of the mid- and infra-temporal fosse, neck and skull base tumor.
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