Surgery of glomus jugulare tumors

Roberto Pareschi, Stefano Righini, Domenico Destito, Aldo Falco Raucci, Stefano Colombo

Research output: Contribution to journalArticle

Abstract

The treatment of choice for glomus jugulare tumors is still controversial. High rates of morbidity, incomplete resection, and the aggressive behavior of these tumors are the main arguments for advocates of primary radiotherapy. However, constant refinements in skull base techniques have made complete resection of these lesions a realistic goal. The high probability of achieving local control of these tumors by surgery has convinced us to support this option strongly. Between 1993 and 2000 we diagnosed 52 glomus tumors of the temporal bone. Of these patients, only 42 had a class C lesion (glomus jugulare) and were included in this study; 37 of these patients underwent surgery, 10 of whom had intracranial extension of the disease. The overall resection rate was 96%. Facial nerve function at 1 year was House-Brackmann grade I to II in 52% of patients and grade III or better in 84% of patients. Hospitalization was shorter than 14 days in 33 patients (89%). All patients with pharyngolaryngeal palsy had sufficient compensation at discharge. Twelve vocal chord Teflon injections were performed after surgery to reduce hoarseness and aspiration. No patient died. No relapse was observed (mean follow-up, 4.9 years).

Original languageEnglish
Pages (from-to)149-157
Number of pages9
JournalSkull Base
Volume13
Issue number3
DOIs
Publication statusPublished - Aug 2003

Keywords

  • Glomus jugulare tumor
  • Infratemporal approach
  • Pharyngolaryngeal paralysis

ASJC Scopus subject areas

  • Clinical Neurology

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    Pareschi, R., Righini, S., Destito, D., Raucci, A. F., & Colombo, S. (2003). Surgery of glomus jugulare tumors. Skull Base, 13(3), 149-157. https://doi.org/10.1055/s-2003-43325