ABSTRACT
OBJECTIVE: The objective of this paper is to make a retrospective analysis in patients with glomus tumours of temporal bone origin. We present the results according to the surgical approach applied in each case. PATIENTS AND METHOD: This retrospective study presents the findings in 17 patients with diagnosis of glomus jugulare of the temporal bone, who were observed and treated in our department over a 5-year period (1999 to 2004). We performed a general otolaryngology exam, systemic evaluation and radiological exam. Surgical treatment was performed in 16 cases out of 17. In 1 case treatment with stereotaxic surgery was performed. RESULTS: The surgical approaches were: retroauricular transcanal approach, radical or modified mastoidectomy through facial recess, and infratemporal fossa approach. Pre-operative embolization was used in 11 of our cases. In all cases the diagnosis of glomus tumour was confirmed. The most frequent post-operative complications found were: transitory paralysis of the facial nerve, sensorineural hearing loss, imbalance, paralysis of the IXth and XIth cranial nerves, and salivary fistula. No recurrences were found after 8 years of follow-up. One case of persistence was found in the case treated with radiosurgery. CONCLUSIONS: In our series surgery was found as the elective therapy for patients with glomus tumour of the temporal bone with no recurrences after 8 years of follow-up. Pre-operative embolization diminishes surgery time and intraoperative bleeding. Stereotaxic therapy cannot provide tumour growth control. Complications are discussed and compared with the bibliography.
Subject(s)
Glomus Jugulare Tumor/pathology , Temporal Bone/pathology , Adult , Aged , Cerebrospinal Fluid Otorrhea/diagnosis , Cerebrospinal Fluid Otorrhea/etiology , Female , Glomus Jugulare Tumor/complications , Glomus Jugulare Tumor/surgery , Humans , Male , Middle Aged , Retrospective Studies , Temporal Bone/surgeryABSTRACT
OBJECTIVE: Our objective was to perform a retrospective analysis of patients with jugulotympanic paragangliomas. We present the results according to the surgical approach applied in each case. MATERIALS AND METHODS: This retrospective study presents the findings in 21 patients with jugulotympanic paragangliomas who were observed and treated in our department over a 12-year period (1999 to 2011). We performed a general otolaryngology exam, systemic evaluation and radiological exam. Surgical treatment was performed in 20 cases out of 21. In 1 case, treatment with stereotactic radiosurgery was carried out. RESULTS: The surgical approaches were: endaural, retroauricular transcanal, radical or modified mastoidectomy through facial recess and infratemporal fossa approach. Preoperative embolization was used in 12 cases. In all cases the diagnosis of paraganglioma was confirmed. The most frequent postoperative complications found were transitory palsy of the facial nerve, sensorineural hearing loss, imbalance, paralysis of the cranial nerves IX and XI and salivary fistula. No recurrences were found after 12 years of follow-up. One case of persistence was found in the case treated with radiosurgery. CONCLUSIONS: In our series surgery was found to be the elective therapy for patients with paraganglioma, with no recurrences after 12 years of follow-up. Preoperative embolization decreases surgery time and intraoperative bleeding. Stereotactic Radiotherapy cannot eliminate the tumour..
Subject(s)
Glomus Jugulare , Glomus Tympanicum , Paraganglioma , Adult , Aged , Female , Humans , Male , Middle Aged , Paraganglioma/diagnosis , Paraganglioma/surgery , Retrospective Studies , Temporal Bone , Time FactorsABSTRACT
Objetivo: El objetivo de este trabajo es realizar un estudio retrospectivo en pacientes con diagnóstico de paraganglioma temporal, analizando los resultados según la conducta terapéutica aplicada para cada caso. Material y métodos: Se incluyó a 21 pacientes con diagnóstico de paraganglioma temporal tratados en nuestro servicio entre enero de 1999 y abril de 2011. A todos se les realizó un examen otorrinolaringológico, sistémico y de imagen. En 20 casos se realizó cirugía para su exéresis yen un caso se realizó tratamiento con cirugía estereotáxica. Resultados: Se realizó embolización preoperatoria en 12 casos. Los abordajes quirúrgicos fueron: extirpación endaural, resección transcanal tras abordaje retroauricular, mastoidectomía radical ampliada con abordaje de receso facial y abordaje infratemporal. El diagnóstico de paraganglioma fue confirmado en todos los casos. Las complicaciones postoperatorias más frecuentes fueron: paresia transitoria del VII par, hipoacusia neurosensorial, desequilibrio, parálisis del VII, parálisis del IX y el XI par y fístula salival. No se observó recidiva de enfermedad con seguimiento entre 1 y 12 años. En un caso tratado con radiocirugía persiste el tumor, estabilizado. Conclusiones: En nuestra serie la cirugía constituye la terapia con la que se logró la resección tumoral total en todos los casos. El uso de embolización preoperatoria reduce el tiempo quirúrgico y el sangrado intraoperatorio. La radiocirugía estereotáxica no permite la desaparición tumoral y persiste la enfermedad (AU)
Objective: Our objective was to perform a retrospective analysis of patients with jugulotympanic paragangliomas. We present the results according to the surgical approach applied in each case. Materials and methods: This retrospective study presents the findings in 21 patients with jugulotympanic paragangliomas who were observed and treated in our department over a 12-year period (1999 to 2011). We performed a general otolaryngology exam, systemic evaluation and radiological exam. Surgical treatment was performed in 20 cases out of 21. In 1 case, treatment with stereotactic radiosurgery was carried out. Results: The surgical approaches were: endaural, retroauricular transcanal, radical or modified mastoidectomy through facial recess and infratemporal fossa approach. Preoperative embolization was used in 12 cases. In all cases the diagnosis of paraganglioma was confirmed. The most frequent postoperative complications found were transitory palsy of the facial nerve, sensorineural hearing loss, imbalance, paralysis of the cranial nerves IX and XI and salivary fistula. No recurrences were found after 12 years of follow-up. One case of persistence was found in the case treated with radiosurgery. Conclusions: In our series surgery was found to be the elective therapy for patients with paraganglioma, with no recurrences after 12 years of follow-up. Preoperative embolization decreases surgery time and intraoperative bleeding. Stereotactic Radiotherapy cannot eliminate the tumour (AU)
Subject(s)
Humans , Male , Female , Glomus Tympanicum , Glomus Jugulare Tumor/diagnosis , Glomus Jugulare Tumor/surgery , Paraganglioma/diagnosis , Paraganglioma/surgery , Temporal Bone , Time Factors , Retrospective StudiesABSTRACT
Objetivo: El objetivo de este trabajo es realizar un estudio retrospectivo en pacientes con diagnóstico de paraganglioma de localización en hueso temporal, analizando los resultados según la conducta terapéutica aplicada para cada caso. Pacientes y método: Se incluyó a 17 pacientes con diagnóstico de paraganglioma localizado en hueso temporal tratados en nuestro servicio entre 1999 y 2004. A todos se les realizó un examen otorrinolaringológico, sistémico y de imagen. En 16 casos se realizó cirugía para su exéresis y en 1 caso se realizó tratamiento con cirugía estereotáxica. Resultados: Los abordajes quirúrgicos fueron: resección transcanal (tras abordaje retroauricular), mastoidectomía radical y modificada con abordaje de receso facial y, por último, abordaje infratemporal. Se realizó embolización preoperatoria en 11 de los casos. El diagnóstico de glomus fue confirmado en todos los casos. Las complicaciones postoperatorias más frecuentes fueron: paresia transitoria del VII par, hipoacusia neurosensorial, desequilibrio, parálisis del VII, parálisis del IX y el XI par y fístula salival. No se observó recidiva de enfermedad con seguimiento entre 1 y 8 años. En un caso tratado con radiocirugía persiste el tumor, con control. Conclusiones: En nuestra serie la cirugía constituye la terapia con la que se logró la resección tumoral total en todos los casos. El uso de embolización preoperatoria reduce el tiempo quirúrgico y el sangrado peroperatorio. La radiocirugía estereotáxica no permite el control tumoral, y persiste la enfermedad
Objective: The objective of this paper is to make a retrospective analysis in patients with glomus tumours of temporal bone origin. We present the results according to the surgical approach applied in each case. Patients and method: This retrospective study presents the findings in 17 patients with diagnosis of glomus jugulare of the temporal bone, who were observed and treated in our department over a 5-year period (1999 to 2004). We performed a general otolaryngology exam, systemic evaluation and radiological exam. Surgical treatment was performed in 16 cases out of 17. In 1 case treatment with stereotaxic surgery was performed. Results: The surgical approaches were: retroauricular transcanal approach, radical or modified mastoidectomy through facial recess, and infratemporal fossa approach. Pre-operative embolization was used in 11 of our cases. In all cases the diagnosis of glomus tumour was confirmed. The most frequent post-operative complications found were: transitory paralysis of the facial nerve, sensorineural hearing loss, imbalance, paralysis of the IXth and XIth cranial nerves, and salivary fistula. No recurrences were found after 8 years of follow-up. One case of persistence was found in the case treated with radiosurgery. Conclusions: In our series surgery was found as the elective therapy for patients with glomus tumour of the temporal bone with no recurrences after 8 years of follow-up. Pre-operative embolization diminishes surgery time and intraoperative bleeding. Stereotaxic therapy cannot provide tumour growth control. Complications are discussed and compared with the bibliography