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Glomus tumors: diagnosis and treatment
Author(s) -
Glasscock Michael E.,
Harris Perry F.,
Newsome George
Publication year - 1974
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.5540841116
Subject(s) - glomus tumor , medicine , pathology
Glomus tumors can be classified as to their origin in the temporal bone. Those limited to the middle ear and mastoid are referred to as tympanicum tumors while those originating in the jugular bulb are known as jugulare tumors. Diagnostic studies such as polytomes of the temporal bone, retrograde venograms and arteriograms now make it possible for the surgeon to determine not only the origin of the tumor but also the extent of its involvement in the temporal bone and base of the skull. Surgical removal is the treatment of choice for these lesions and radiation therapy is considered palliative and used only in inoperable cases. The theme of this paper is that extensive tympanicum and jugulare tumors can be removed with preservation of the eardrum, ossicles, posterior canal wall and cranial nerves. Twenty‐one patients are presented with summarized case histories. A protocal for diagnosis and a system of operations for the removal of these tumors has been presented in detail.