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Clinical presentation and management of jugular foramen paraganglioma

Authors
 Sa Myung Chung  ;  Hyun Su Kim  ;  Jinsei Jung  ;  Ho-Ki Lee  ;  Won Sang Lee 
Citation
 CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, Vol.2(1) : 28-32, 2009 
Journal Title
 CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY 
ISSN
 1976-8710 
Issue Date
2009
Keywords
Combined approach ; Infratemporal approach ; Intracranial extension ; Jugular foramen paraganglioma
Abstract
OBJECTIVES: Jugular foramen paraganglioma is a locally invasive, benign tumor, which grow slowly and causes various symptoms such as pulsatile tinnitus and low cranial nerve palsy. Complete surgical resection is regarded as the ideal management of these tumors. The goal of this study is to identify the clinical characteristics and most effective surgical approach for jugular foramen paraganglioma. METHODS: Retrospective analysis of 9 jugular foramen paraganglioma patients who underwent surgical resection between 1986 and 2005 was performed. Clinical records were reviewed for analysis of initial clinical symptoms and signs, audiological examinations, neurological deficits, radiological features, surgical approaches, extent of resection, treatment outcomes and complications. RESULTS: Most common initial symptom was hoarseness, followed by pulsatile tinnitus. Seven out of 9 patients had at least one low cranial nerve palsy. Seven patients were classified as Fisch Type C tumor and remaining 2 as Fisch Type D tumor on radiologic examination. Total of 11 operations took place in 9 patients. Total resection was achieved in 6 cases, when partial resection was done in 3 cases. Two patients with partial resection received gamma knife radiosurgery (GKS), when remaining 1 case received both GKS and two times of revision operation. No mortality was encountered and there were few postoperative complications. CONCLUSION: Neurologic examination of low cranial nerve palsy is crucial since most patients had at least one low cranial nerve palsy. All tumors were detected in advanced stage due to slow growing nature and lack of symptom. Angiography with embolization is crucial for successful tumor removal without massive bleeding. Infratemporal fossa approach can be considered as a safe, satisfactory approach for removal of jugular foramen paragangliomas. In tumors with intracranial extension, combined approach is recommended in that it provides better surgical view and can maintain the compliance of the patients
Files in This Item:
T200902936.pdf Download
DOI
10.3342/ceo.2009.2.1.28
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Won Sang(이원상)
Lee, Ho Ki(이호기)
Jung, Jinsei(정진세) ORCID logo https://orcid.org/0000-0003-1906-6969
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104484
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