Abstract
Purpose
The jugular and tympanic glomus are rare neoplasms in the general population, being even more uncommon in the pediatric population. There is considerable morbidity associated with both disease and treatment. Treatment is essentially surgical, carried out in recent years in a multidisciplinary manner using preoperative embolization associated with microsurgery and eventually adjuvant radiotherapy. The outcome depends on the location of the lesion and its proximity to noble structures in addition to multidisciplinary monitoring in the postoperative period.
Methods
In this article, a literature review was carried out in the PubMed database, finding reports from 17 patients diagnosed with the disease. Only articles in English were considered.
Results
Moreover, we reported a case of a 14-year-old patient diagnosed with jugulotympanic glomus who underwent radical surgical treatment of the lesion.
Conclusion
This is a rare case of jugulotympanic glomus in a pediatric patient, who underwent surgical treatment associated with multidisciplinary therapy, with a favorable postoperative outcome.
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Availability of data and material
All the material is available in the medical records of the presented patients and the data bank used for the literature review.
Code availability
Not applicable.
Abbreviations
- MRI:
-
Magnetic resonance imaging
- CT:
-
Computed tomography
- SRS:
-
Stereotactic radiosurgery
- GTR:
-
Gross total resection
- OAM:
-
Acute otitis media
- IAC:
-
Internal acoustic meatus
- ICA:
-
Internal carotid artery
- FN:
-
Facial nerve
- JF:
-
Jugular foramen
- ME:
-
Middle ear
References
Lloyd S, Obholzer R, Tysome J (2020) British Skull Base Society clinical consensus document on management of head and neck paragangliomas. Otolaryngol Head Neck Surg 163. https://doi.org/10.1177/0194599820915490
Fishbein L (2016) Pheochromocytoma and paraganglioma: genetics, diagnosis, and treatment. Hematol Oncol Clin North Am 30. https://doi.org/10.1016/j.hoc.2015.09.006
Fernández-de Thomas RJ, De Jesus O (2021) Glomus jugulare. StatsPearls [Internet]
Leung AA, Pasieka JL, Hyrcza et al (2021) Epidemiology of pheochromocytoma and paraganglioma: population-based cohort study. Eur J Endocrinol 184. https://doi.org/10.1530/EJE-20-0628
Busby DR, Hepp VE (1974) Glomus tympanicum tumor in infancy. Arch Otolaryngol 99. https://doi.org/10.1001/archotol.1974.00780030389013
Bartels LJ, Gurucharri M (1988) Pediatric glomus tumors. Otolaryngol Head Neck Surg 99. https://doi.org/10.1177/019459988809900407
Thompson JW, Cohen SR (1989) Management of bilateral carotid body tumors and a glomus jugulare tumor in a child. Int J Pediatr Otorhinolaryngol 17. https://doi.org/10.1016/0165-5876(89)90296-6
Ophir D (1991) Familial multicentric paragangliomas in a child. J Laryngol Otol 105. https://doi.org/10.1017/s0022215100116056
Jacobs IN, Potsic WP (1994) Glomus tympanicum in infancy. Arch Otolaryngol Head Neck Surg 120. https://doi.org/10.1001/archotol.1994.01880260073013
Magliulo G, Cristofari P, Terranova G (1996) Glomus tumor in pediatric age. Int J Pediatr Otorhinolaryngol 38. https://doi.org/10.1016/s0165-5876(96)01394-8
Borba LA, Al-Mefty O (1996) Intravagal paragangliomas: report of four cases. Neurosurgery 38. https://doi.org/10.1097/00006123-199603000-00030
Fennessy BG, Kozakewich HP, Silvera M et al (2011) The presentation and management of multiple paraganglioma in head and neck. Ir J Med Sci 180. https://doi.org/10.1007/s11845-009-0338-0
Yaniv E, Sadé J (1983) Glomus tympanicum tumors in a child. Int J Pediatr Otorhinolaryngol 5. https://doi.org/10.1016/s0165-5876(83)80011-1
Li G, Chang S, Adler JR, Lim M (2007) Irradiation of glomus jugulare tumors: a historical perspective. Neurosurg Focus 23:E12
Madison Michael L, Robertson JH (2004) Glomus jugulare tumors: historical overview of the management of this disease. Neurosurg Focus 17:1–5
Carlson ML, Sweeney AD, Pelosi S et al (2015) Glomus tympanicum: a review of 115 cases over 4 decades. Otolaryngol Head Neck Surg 152. https://doi.org/10.1177/0194599814555849
Jackson CG (2001) Glomus tympanicum and glomus jugulare tumors. Otolaryngol Clin North Am 34. https://doi.org/10.1016/s0030-6665(05)70356-x
House WF, Glasscock ME (1968) Glomus tympanicum tumors. Arch Otolaryngol 87:550–554
Nadgir R, Yousem DM (2016) Neuroradiology: the requisites e-book. Elsevier Health Sciences
Mafee MF, Raofi B, Kumar A, Muscato C (2000) Glomus faciale, glomus jugulare, glomus tympanicum, glomus vagale, carotid body tumors, and simulating lesions. Role of MR imaging. Radiol Clin North Am 38. https://doi.org/10.1016/s0033-8389(05)70221-9
Adamo DA, Fender QA, Hyde BJ et al (2017). A pictorial essay of middle ear pathology correlating temporal bone CT and MRI with archived otoscopic photographs. https://doi.org/10.3174/ng.2170191
Jansen TTG, Hjlm T, Marres HAM et al (2018) Results of a systematic literature review of treatment modalities for jugulotympanic paraganglioma, stratified per Fisch class. Clin Otolaryngol 43. https://doi.org/10.1111/coa.13046
Semaan MT, Megerian CA (2008) Current assessment and management of glomus tumors. Curr Opin Otolaryngol Head Neck Surg 16:420–426
Griessenauer CJ, McGrew B, Matusz P et al (2016) Surgical approaches to the jugular foramen: a comprehensive review. J Neurol Surg B Skull Base 77. https://doi.org/10.1055/s-0035-1567863
Fisch U (1978) Infratemporal fossa approach to tumours of the temporal bone and base of the skull. J Laryngol Otol 92. https://doi.org/10.1017/s0022215100086382
Fisch U (1982) Infratemporal fossa approach for glomus tumors of the temporal bone. Ann Otol Rhinol Laryngol 91. https://doi.org/10.1177/000348948209100502
Colli BO, Carlotti Junior CG, de Oliveira RS et al (2020) Surgical management of embolized jugular foramen paragangliomas without facial nerve transposition: experience of a public tertiary hospital in Brazil. Surg Neurol Int 12. https://doi.org/10.25259/SNI_651_2021
Al-Mefty O, Fox JL, Rifai A, Smith RR (1987) A combined infratemporal and posterior fossa approach for the removal of giant glomus tumors and chondrosarcomas. Surg Neurol 28. https://doi.org/10.1016/0090-3019(87)90224-2
Borba LA, Araújo JC, de Oliveira JG et al (2010) Surgical management of glomus jugulare tumors: a proposal for approach selection based on tumor relationships with the facial nerve. J Neurosurg 112. https://doi.org/10.3171/2008.10.JNS08612
Ivan ME, Sughrue ME, Clark AJ et al (2011) A meta-analysis of tumor control rates and treatment-related morbidity for patients with glomus jugulare tumors. J Neurosurg 114. https://doi.org/10.3171/2010.9.JNS10699
Kantorovich V, Pacak K (2010) Pheochromocytoma and paraganglioma. Prog Brain Res 182. https://doi.org/10.1016/S0079-6123(10)82015-1
Neumann HPH, Young WF, Eng C (2019) Pheochromocytoma and paraganglioma. N Engl J Med 381. https://doi.org/10.1056/NEJMra1806651
Drovdlic CM, Myers EN, Peters JA, et al (2001) Proportion of heritable paraganglioma cases and associated clinical characteristics. Laryngoscope 111. https://doi.org/10.1097/00005537-200110000-00029
Fatima N, Pollom E, Soltys S et al (2021) Stereotactic radiosurgery for head and neck paragangliomas: a systematic review and meta-analysis. Neurosurg Rev 44. https://doi.org/10.1007/s10143-020-01292-5
Bacciu A, Prasad SC, Sist N et al (2016) Management of the cervico-petrous internal carotid artery in class C tympanojugular paragangliomas. Head Neck 38. https://doi.org/10.1002/hed.24284
Contrera KJ, Yong V, Reddy CA et al (2020) Recurrence and progression of head and neck paragangliomas after treatment. Otolaryngol Head Neck Surg 162. https://doi.org/10.1177/0194599820902702
Fayad JN, Keles B, Brackmann DE (2010) Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol 31. https://doi.org/10.1097/MAO.0b013e3181be6495
Prasad SC, Mimoune HA, Khardaly M et al (2016) Strategies and long-term outcomes in the surgical management of tympanojugular paragangliomas. Head Neck 38. https://doi.org/10.1002/hed.24177
Sivalingam S, Konishi M, Shin SH et al (2012) Surgical management of tympanojugular paragangliomas with intradural extension, with a proposed revision of the Fisch classification. Audiol Neurootol 17. https://doi.org/10.1159/000338418
Makiese O, Chibbaro S, Marsella M et al (2012) Jugular foramen paragangliomas: management, outcome and avoidance of complications in a series of 75 cases. Neurosurg Rev 35. https://doi.org/10.1007/s10143-011-0346-1
Sahyouni R, Mahboubi H, Moshtaghi O et al (2018) Radiosurgery of glomus tumors of temporal bone: a meta-analysis. Otol Neurotol 39. https://doi.org/10.1097/MAO.0000000000001737
Nonaka Y, Fukushima T, Watanabe K et al (2013) Less invasive transjugular approach with fallopian bridge technique for facial nerve protection and hearing preservation in surgery of glomus jugulare tumors. Neurosurg Rev 36. https://doi.org/10.1007/s10143-013-0482-x
Odat H, Shin SH, Odat MA, Alzoubi F (2016) Facial nerve management in jugular paraganglioma surgery: a literature review. J Laryngol Otol 130. https://doi.org/10.1017/S0022215115003394
Ashour R, Aziz-Sultan A (2014) Preoperative tumor embolization. Neurosurg Clin N Am 25:607–617
Devuyst L, Defreyne L, Praet M et al (2016) Treatment of glomus tympanicum tumors by preoperative embolization and total surgical resection. Am J Otolaryngol 37. https://doi.org/10.1016/j.amjoto.2016.08.011
Moreno-Paredes S, Rodríguez-Alcalá L, Martín-Lagos MJ et al (2021) Facial palsy after embolization with Squid® 12. BMC Neurol 21. https://doi.org/10.1186/s12883-021-02064-4
Minatogawa T, Kumoi T, Hosomi H, Kokan T (1980) The blood supply of the facial nerve in the human temporal bone. Auris Nasus Larynx 7. https://doi.org/10.1016/s0385-8146(80)80009-5
Liscak R, Urgosik D, Chytka T et al (2014) Leksell Gamma Knife radiosurgery of the jugulotympanic glomus tumor: long-term results: clinical article. J Neurosurg 121:198–202
Guss ZD, Batra S, Limb CJ et al (2011) Radiosurgery of glomus jugulare tumors: a meta-analysis. Int J Radiat Oncol Biol Phys 81:e497–e502
Tomasello F, Conti A (2015) Judicious management of jugular foramen tumors. World Neurosurg 83. https://doi.org/10.1016/j.wneu.2014.09.013
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de Souza, S.N.F., Pongeluppi, R.I., Cardoso, R.A.M. et al. Glomus jugulare in a pediatric patient: case report and literature review. Childs Nerv Syst 38, 269–277 (2022). https://doi.org/10.1007/s00381-021-05397-0
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DOI: https://doi.org/10.1007/s00381-021-05397-0