Summary
A retrospective study of 61 patients with glomus jugulare tumours treated at the National Hospital for Neurology and Neurosurgery, and at the Royal National Throat, Nose and Ear Hospital, London. The average age at presentation was 41.7 years. The patients were mainly treated by a posterolateral combined otoneurosurgical approach. 42/61 of the patients had total or subtotal excision of their tumours, 7/61 had partial removal and the remaining 11/61 had no operation. Only one case required a 2-staged procedure. There were two deaths in the postoperative period, one from intracerebral haemorrhage and the other from the left hemisphere infarction.
Postoperative radiotherapy was given to 5/7 of the patients who had partial removal. 3/40 of the patients with total removal had postoperative radiotherapy, and a further 3/40 had received radiotherapy pre-operatively.
Of the 11 patients who did not undergo surgery, 7/11 were treated with radiotherapy and 4/11 had embolisation only.
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References
Benati A, Mosciaro O, Maschio Aet al (1974) Embolisation treatment of an inoperable angioma of the glomus jugulare by selective transfemoral catheterization of the external carotid artery. Nuovo Arch Otol Rhinol Laryngol 2: 237–244
Bordi LT, Cheesman AD, Symon L (1989) The surgical management of glomus jugulare tumours-description of a single-staged posterolateral combined otoneurosurgical approach. Br J Neurosurg 3: 21–30
Farrior JB, Hyams U, Beuke RH (1980) Carcinoid apudomas arising in a glomus jugulare tumour: review of endocrine activity in glomus jugulare tumours. Laryngoscope 90: 110–119
Fisch U (1982) Infratemporal fossa approach for glomus tumours of the temporal bone. Ann Otol Rhinol Laryngol 91: 474–479
Fisch U, Pilsbury HC (1979) Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 105: 99–107
Fisch, Fagan P, Valvanis A (1984) The intratemporal fossa approach for the lateral skull base. Otolaryngol Clin North Am 17: 513–552
George B (1992) Jugulare foramen paragangliomas. Acta Neurochir (Wien) 118: 20–26
Glasscock ME, Jackson CG, Dickins JRE, Wiet RJ (1979) Panel discussion: glomus jugulare tumours of the temporal bone. The surgical management of glomus tumours. Laryngoscope 89: 1640–1654
Guild S (1941) A hitherto unrecognised structure, the glomus jugularis in man. Anat Rec 79: 2–28
Guild SR (1953) The glomus jugulare: a nonchromaffin paraganglion in man. Ann Otol Rhinol Laryngol 62: 1045–1071
Jackson CG, Glasscock ME, McKennan KX,et al (1987) The surgical management of skull base tumors with intracranial extension. Otolaryngol Head Neck Surg 96: 175–185
Jenkins HA, Fisch U (1981) Glomus tumors of the temporal region. Technique of surgical resection. Arch Otolaryngol 107: 209–214
Johnston F, Symon L (1992) Malignant paraganglioma of the glomus jugulare: a case report. Br J Neurosurg 6: 255–260
Krause W (1978) Die Glandula tympanica des Menschen. Zentrabi Med Wissensch 16: 737–739
Le Compte PM (1951) Atlas of tumour pathology. Armed Forces Institute of Pathology, Washington DC
Lloyd GA, Barker PG, Phelps PD (1993) Subtraction gadolinium enhanced magnetic resonance for head and neck imaging. Br J Radiol 66: 12–16
Netterville JL, Civantos FJ (1993) Rehabilitation of cranial nerve deficits after neurotologic skull base surgery. Laryngoscope 103 [Suppl 60]: 45–54
Peto R, Pike MC, Armitage P, Breslow NE, Cox DR, Howard SV, Mantel N, McPherson K, Peto J, Smith PG (1977) Design and analysis of randomized clinical trials requiring prolonged observation of each patient. II. Analysis and examples. Br J Cancer 35: 1–39
Powell S, Peters N, Harmer C (1992) Chemodectoma of the head and neck: results of treatment in 84 patients. Int J Radiat Oncol Biol Phys 22: 919–924
Souliere CR Jr, Telian SA, Kemink JL (1991) The infratemporal fossa approach to skull base surgery. Ear Nose Throat J 70: 620–636
Tercilla OF, Schmidt Ullrich R, Wazer DE (1993) Reirradiation of head and neck neoplasms using twice-a-day scheduling. Strahlenther Onkol 169: 285–290
Thedinger BA, Glasscock ME 3rd, Cueva RA, Jackson CG (1992) Postoperative radiographic evaluation after acoustic neuroma and glomus jugulare tumor removal. Laryngoscope 102: 261–266
Valentin G (1840) über eine gangliose Anschwellung in der Jacobsonchen Anastomose des Menschen. Arch Anat Physiol Lpz 16: 287–290
van der Mey AG, Frijns JH, Cornelisse CJ, Brons EN, van Dulken H, Terpstra HL, Schmidt PH (1992) Does intervention improve the natural course of glomus tumors? A series of 108 patients seen in a 32 year period. Ann Otol Rhinol Laryngol 101 (8): 635–642
Winship T, Louzan J (1951) Tumours of the glomus jugulare not associated with the jugular vein. Arch Otolaryngol 54: 378–383
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Watkins, L.D., Mendoza, N., Cheesman, A.D. et al. Glomus jugulare tumours: A review of 61 cases. Acta neurochir 130, 66–70 (1994). https://doi.org/10.1007/BF01405504
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DOI: https://doi.org/10.1007/BF01405504