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[The experience with the surgical treatment of glomus tumours]
V M Svistushkin1, E A Shevchik1, I T Muhamedov1
1I.M. Sechenov First Moscow State Medical University, Moscow, Russia, 119991.
Introduction:
glomus tumours of the temporal bones rank second after neurinomas of the VII-th pair of cranial nerves among the pathological conditions that are likely to cause hearing mpairment. Being extensively vascularized locally invasive neoplasms, glomus tumours constitute a serious challenge for the surgeon because of their localization in the vicinity of the vitally important vascular and neural structures of the lateral skull base.
Aim:
To characterize some peculiar features of the surgical interventions and postoperative management of the patients presenting with different types of glomus tumours.
Patients And Methods:
our experience is based on the surgical treatment of 15 patients with glomus tumours of the temporal bones of varying extent and localization.
Results And Discussion:
It is concluded that the magnitude and extent of the surgical intervention and of the follow-up examination depend on the spread of the neoplasm. The treatment of the B, S, D - type tumours implies the necessity of pre-operative embolization of the vessels feeding the neoplasm.
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