Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-20T06:58:58.790Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgical management of large glomus jugulare tumours: infra-and trans-temporal approach

Published online by Cambridge University Press:  29 June 2007

D. A. Moffat  and
D. G. Hardy
D. A. Moffat*
Affiliation:
Cambridge
D. G. Hardy
Affiliation:
Cambridge
*
Mr D. A. Moffat FRCS, Department of Otolaryngology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ
Get access Rights & Permissions [Opens in a new window]

Abstract

Surgery may have to be considered in the management of large glomus tumours since other modalities of treatment are not curative. The judicious use of surgical intervention is imperative since a neurological deficit involving the last four cranial nerves may ensue and consideration of the quality of life of the patient in the post-operative period is of paramount importance. A brief description of the historical aspects and pathology of these tumours is followed by an analysis of the clinical presentation, investigation and assessment of a series of 10 patients. Six patients underwent surgery and their tumours were removed by the infra-and trans-temporal approach. This is described and illustrated in detail and the surgical results presented.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 12 , December 1989 , pp. 1167 - 1180
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Paper presented by Mr D. A. Moffat to the Section of Otology at the Royal Society of Medicine 2 Dec 1988.

References

Alford, B. R. and Guilford, F. R. (1962) A comprehensive study of tumours of the glomus jugulare. Laryngoscope, 72: 765–787.CrossRefGoogle ScholarPubMed
Bickerstaff, E. R. and Howell, J. S. (1953) The neurological importance of tumours of the glomus jugulare Brain, 76: 576–593.CrossRefGoogle ScholarPubMed
Boyd, J. D., Lever, J. D. and Griffith, A. N. (1959) Electron microscope observations on a glomus jugulare tumour. Annals of Otology, Rhinology and Laryngology, 68: 273–277.CrossRefGoogle Scholar
Bundgaard, T., Tandrup, O., Elbrond, O. and Nordentoft, A. M. (1989) Treatment of glomus tumours. A retrospective study. Clinical otolaryngology, 14: 155–160.CrossRefGoogle Scholar
Duke, W. W., Boshell, B. R., Soteres, P. and Carr, J. H. (1964) A norepinephrine secreting glomus tumor presenting as a phaeochromocytoma. Annals of Internal Medicine, 60: 1040–1047.CrossRefGoogle Scholar
Fisch, U. (1982) Infratemporal fossa approach for glomus tumors of the temporal bone. Annals of Otology, Rhinology and Laryngology, 91: 474–479.CrossRefGoogle ScholarPubMed
Guild, S. R. (1953) The glomus jugulare: A nonchromaffin paraganglion in man. Annals of Otology, Rhinology and Laryngology, 62: 1045–1071.CrossRefGoogle ScholarPubMed
Krause, W. (1878). Eie glandula tympanica des menschen. Zentralblatt fur Medizin Wissenesch, 16: 737–739.Google Scholar
Lattes, R. and Waltner, J. G. (1949) Nonchromaffin paraganglioma of the middle ear. Cancer, 2: 447–468.3.0.CO;2-E>CrossRefGoogle ScholarPubMed
Moffat, D. A., Hardy, D. G. and Baguley, D. M. (1989) Strategy and benefits of acoustic neuroma searching. Journal of Laryngology and Otology, 103: 51–59.CrossRefGoogle ScholarPubMed
Mulligan, R. M. (1950) Chemodectoma in the dog. American Journal of Pathology, 28: 680–681.Google Scholar
Oldring, D. and Fisch, U. (1979) Glomus tumors of the temporal region: Surgical therapy. American Journal of Otolaryngology, 1: 7–18.Google ScholarPubMed
Phelps, P. D. and Stansbie, J. M. (1988) Glomus jugulare or tympanicum? The role of CT and MR imaging with Gadolinium DTPA. Journal of Laryngology and Otology, 102: 766–776.CrossRefGoogle ScholarPubMed
Rosenwasser, H. (1945) Carotid body tumor of the middle ear and mastoid. Archives of Otolaryngology, 41: 64–67.CrossRefGoogle Scholar
Rosenwasser, H. (1958) Metastasis from glomus jugulare tumors. Archives of Otolaryngology, 67: 197–203.CrossRefGoogle ScholarPubMed
Taylor, D. M., Alford, B. R. and Greenberg, J. D. (1965) Metastasis of glomus jugulare tumors. Archives of Otolaryngology, 82: 5–13.CrossRefGoogle ScholarPubMed
Tos, M. and Thomsen, J. (1984) Epidemiology of acoustic neuromas. Journal of Laryngology and Otology, 98: 685–692.CrossRefGoogle ScholarPubMed
Valentin, G. (1840) Ueber eine gangliose anschwellung in der Jacobsonchen anastomose des menschen. Archiv für Anatomie, Physiologie und Wissenschaftliche Medicin Novorno, Leipzig, 287–290.Google Scholar