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Acta Neurochirurgica

, Volume 130, Issue 1–4, pp 66–70 | Cite as

Glomus jugulare tumours: A review of 61 cases

  • L. D. Watkins
  • N. Mendoza
  • A. D. Cheesman
  • L. Symon
Clinical Articles

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.

Keywords

Glomus jugulare tumour skull base paraganglioma 

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References

  1. 1.
    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: 237–244Google Scholar
  2. 2.
    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: 21–30PubMedGoogle Scholar
  3. 3.
    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: 110–119PubMedGoogle Scholar
  4. 4.
    Fisch U (1982) Infratemporal fossa approach for glomus tumours of the temporal bone. Ann Otol Rhinol Laryngol 91: 474–479PubMedGoogle Scholar
  5. 5.
    Fisch U, Pilsbury HC (1979) Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 105: 99–107PubMedGoogle Scholar
  6. 6.
    Fisch, Fagan P, Valvanis A (1984) The intratemporal fossa approach for the lateral skull base. Otolaryngol Clin North Am 17: 513–552PubMedGoogle Scholar
  7. 7.
    George B (1992) Jugulare foramen paragangliomas. Acta Neurochir (Wien) 118: 20–26Google Scholar
  8. 8.
    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: 1640–1654PubMedGoogle Scholar
  9. 9.
    Guild S (1941) A hitherto unrecognised structure, the glomus jugularis in man. Anat Rec 79: 2–28Google Scholar
  10. 10.
    Guild SR (1953) The glomus jugulare: a nonchromaffin paraganglion in man. Ann Otol Rhinol Laryngol 62: 1045–1071PubMedGoogle Scholar
  11. 11.
    Jackson CG, Glasscock ME, McKennan KX,et al (1987) The surgical management of skull base tumors with intracranial extension. Otolaryngol Head Neck Surg 96: 175–185PubMedGoogle Scholar
  12. 12.
    Jenkins HA, Fisch U (1981) Glomus tumors of the temporal region. Technique of surgical resection. Arch Otolaryngol 107: 209–214PubMedGoogle Scholar
  13. 13.
    Johnston F, Symon L (1992) Malignant paraganglioma of the glomus jugulare: a case report. Br J Neurosurg 6: 255–260PubMedGoogle Scholar
  14. 14.
    Krause W (1978) Die Glandula tympanica des Menschen. Zentrabi Med Wissensch 16: 737–739Google Scholar
  15. 15.
    Le Compte PM (1951) Atlas of tumour pathology. Armed Forces Institute of Pathology, Washington DCGoogle Scholar
  16. 16.
    Lloyd GA, Barker PG, Phelps PD (1993) Subtraction gadolinium enhanced magnetic resonance for head and neck imaging. Br J Radiol 66: 12–16PubMedGoogle Scholar
  17. 17.
    Netterville JL, Civantos FJ (1993) Rehabilitation of cranial nerve deficits after neurotologic skull base surgery. Laryngoscope 103 [Suppl 60]: 45–54PubMedGoogle Scholar
  18. 18.
    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: 1–39PubMedGoogle Scholar
  19. 19.
    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: 919–924PubMedGoogle Scholar
  20. 20.
    Souliere CR Jr, Telian SA, Kemink JL (1991) The infratemporal fossa approach to skull base surgery. Ear Nose Throat J 70: 620–636PubMedGoogle Scholar
  21. 21.
    Tercilla OF, Schmidt Ullrich R, Wazer DE (1993) Reirradiation of head and neck neoplasms using twice-a-day scheduling. Strahlenther Onkol 169: 285–290PubMedGoogle Scholar
  22. 22.
    Thedinger BA, Glasscock ME 3rd, Cueva RA, Jackson CG (1992) Postoperative radiographic evaluation after acoustic neuroma and glomus jugulare tumor removal. Laryngoscope 102: 261–266PubMedGoogle Scholar
  23. 23.
    Valentin G (1840) über eine gangliose Anschwellung in der Jacobsonchen Anastomose des Menschen. Arch Anat Physiol Lpz 16: 287–290Google Scholar
  24. 24.
    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): 635–642PubMedGoogle Scholar
  25. 25.
    Winship T, Louzan J (1951) Tumours of the glomus jugulare not associated with the jugular vein. Arch Otolaryngol 54: 378–383Google Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • L. D. Watkins
    • 1
  • N. Mendoza
    • 1
  • A. D. Cheesman
    • 2
  • L. Symon
    • 1
  1. 1.Gough-Cooper Department of Neurological SurgeryInstitute of NeurologyLondon
  2. 2.E.N.T. DepartmentRoyal National Throat, Nose and Ear HospitalLondonUK

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