Surgical management of previously untreated glomus jugulare tumors

J. D. Green, D. E. Brackmann, C. D. Nguyen, M. A. Arriaga, Fred F Telischi, A. De la Cruz

Research output: Contribution to journalArticle

118 Citations (Scopus)

Abstract

The treatment of glomus jugulare tumors is controversial. Changes in the surgical treatment of glomus jugulare tumors at The House Ear Clinic have allowed complete resection in 85% of patients with minimal morbidity and no surgical mortalities. Our experience with 52 previously untreated patients with glomus jugulare tumors is reviewed. Two primary surgical techniques were used. The mastoid/neck approach was used in 9 patients with small tumors limited to the jugular bulb. The infratemporal fossa approach was used in the remaining 43 tumors. Lower cranial nerve preservation was possible in the majority of patients with normal preoperative function. Modifications in the management of the facial nerve during the infratemporal fossa approach have resulted in good recovery of facial function (House grade I/VI or II/VI) in 95% of patients. Most patients (85%) were able to fully resume all preoperative activities. Our results suggest that surgical management is the treatment of choice in younger patients with glomus jugulare tumors.

Original languageEnglish
Pages (from-to)917-921
Number of pages5
JournalLaryngoscope
Volume104
Issue number8 I
StatePublished - Jan 1 1994

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Glomus Jugulare Tumor
Neck
Mastoid
Cranial Nerves
Recovery of Function
Facial Nerve
Ear
Neoplasms
Therapeutics
Morbidity
Mortality

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Green, J. D., Brackmann, D. E., Nguyen, C. D., Arriaga, M. A., Telischi, F. F., & De la Cruz, A. (1994). Surgical management of previously untreated glomus jugulare tumors. Laryngoscope, 104(8 I), 917-921.

Surgical management of previously untreated glomus jugulare tumors. / Green, J. D.; Brackmann, D. E.; Nguyen, C. D.; Arriaga, M. A.; Telischi, Fred F; De la Cruz, A.

In: Laryngoscope, Vol. 104, No. 8 I, 01.01.1994, p. 917-921.

Research output: Contribution to journalArticle

Green, JD, Brackmann, DE, Nguyen, CD, Arriaga, MA, Telischi, FF & De la Cruz, A 1994, 'Surgical management of previously untreated glomus jugulare tumors', Laryngoscope, vol. 104, no. 8 I, pp. 917-921.
Green JD, Brackmann DE, Nguyen CD, Arriaga MA, Telischi FF, De la Cruz A. Surgical management of previously untreated glomus jugulare tumors. Laryngoscope. 1994 Jan 1;104(8 I):917-921.
Green, J. D. ; Brackmann, D. E. ; Nguyen, C. D. ; Arriaga, M. A. ; Telischi, Fred F ; De la Cruz, A. / Surgical management of previously untreated glomus jugulare tumors. In: Laryngoscope. 1994 ; Vol. 104, No. 8 I. pp. 917-921.
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