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Surgery of Glomus Jugulare Tumors

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Marcadores Sociales
Surgery of Glomus Jugulare Tumors
Id. 18097836
Idioma inglés
Titulo Surgery of Glomus Jugulare Tumors
Autor(es) Pareschi, Roberto
Righini, Stefano
Destito, Domenico
Raucci, Aldo Falco
Colombo, Stefano
Localización http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1131844
Versión 1.0
Estado Final
Descripción 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).
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Copyright
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA
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Fecha de contribución 04-mar-2008
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