Glomus tumors of the head and neck: thirteen years’ institutional experience and management

Tokgöz, Sibel Alicura; Saylam, Güleser; Bayır, Ömer; Keseroğlu, Kemal; Toptaş, Gökhan; Tatar, Emel Çadallı; Akın, İstemihan; Korkmaz, Mehmet

doi:10.1080/00016489.2019.1655588

Cited by 15 publications

(17 citation statements)

References 20 publications

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“…An exception was one patient who required significant blood transfusion during surgery (1130 ml) due to the hemorrhage from carotid sinus. Surgical resection of paragangliomas can be complicated due to massive bleeding because of their high vascularity 10 . With the evolution of preoperative planning, surgical techniques, and diagnostic evaluations, the risk of artery injury are minimal 11 .…”

Section: Discussionmentioning

confidence: 99%

Therapeutic role of selective preoperative embolization in patients with paraganglomas of head and neck

et al. 2021

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Background/Aim. are rare hypervascular neoplasms. The aim of this study was to present experience in treatment of paragangliomas with preoperative embolization. Methods. This is a retrospective cross-sectional study of 10 patients (7 women and 3 men; median age 55 years) with paragangliomas who were embolized before surgery. Results. Three had tympanicum paragangliomas, two carotid body, three jugulare and two jugulare-tympanicum paragangliomas.During the operation, 9 out of 10 patients didn't have bleeding which would require blood transfusion. One patient received 1130 ml of blood transfusion due to surgical complication. Conclusion.Adequate preoperative selective embolization of paragangliomas is essential in the preoperative preparation of these patients, because this strategy is feasible with low complications rates.

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Section: Discussionmentioning

confidence: 99%

Therapeutic role of selective preoperative embolization in patients with paraganglomas of head and neck

et al. 2021

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“…У женщин заболевание встречается в 3-6 раз чаще, чем у мужчин [7]. Среди параганглиом головы и шеи от 44 до 48% приходится на опухоли каротидного тельца, от 16 до 24% -на яремный гломус, 20% -на каротидный гломус и 8% -на блуждающий нерв [8,9]. Пациенты чаще всего предъявляют жалобы на пульсирующий шум в ушах, снижение слуха.…”

Section: оригинальные исследованияunclassified

Algorithm of Surgical Treatment of Patients with Temporal Bone Paraganglioma Preserving Anatomical Organization and Sound-Conducting Apparatus of the Middle Ear

Диаб,

Дайхес,

Умаров

et al. 2023

Оториноларингология. Восточная Европа

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Цель. Улучшение функциональных результатов хирургического лечения пациентов с параганглиомой височной кости с помощью разработанного и введенного в практику отохирурга хирургического доступа. Материалы и методы. За период с февраля 2015 по февраль 2023 г. в ФГБУ НМИЦО обследовано и пролечено 203 пациента. Объем и методика операции определялись в зависимости от степени распространения новообразования, согласно классификации U. Fisch и D. Mattox в модификации М. Sanna от 2013 г., а также с учетом собственного опыта. Обследовано и прооперировано 203 пациента с параганглиомой височной кости: тип А – 34 пациента, из них с типом А1 – 10 пациентов, с типом А2 – 24 пациента; тип В – 89 пациентов, из них В1 – 25 пациентов, В2 – 27 пациентов, В3 – 37 пациентов; тип С – 80 пациентов, С1 – 34 пациента, тип С2 – 13 пациентов, тип С3 – 8 пациентов, тип С4 – 6 пациентов. Из них 34 мужчины и 96 женщин в возрасте от 28 до 82 лет. Результаты. Осуществлялась оценка результатов в ближайшем и отдаленном послеоперационном периоде у пациентов с проведенным разработанным хирургическим доступом. У всех пациентов после операции отмечалось улучшение слуха за счет увеличения порогов звукопроведения в среднем на 10–15 дБ. Всем пациентам с опухолью типа В3 за 24 ч до операции выполнялась селективная эмболизация сосуда, питающего опухоль. Интраоперационно у пациентов после эмболизации отмечалось уменьшение размера опухоли и снижение кровоточивости из опухоли, разница между объемом кровопотери с эмболизацией и без эмболизации составила 100–150 мл. Дисфункции лицевого нерва в раннем и отдаленном послеоперационном периоде не отмечалось. По данным лучевых исследований, через 6–12 месяцев рецидивов опухоли не отмечалось. Максимальный срок наблюдения составил 8 лет. Заключение. Предложенный алгоритм хирургического лечения пациентов с параганглиомой височной кости, основанный на данных лучевой диагностики на дооперационном этапе с использованием эндоваскулярной эмболизации, навигационной системы, микрохирургической техники и эндовидеоконтроля, при помощи разработанного хирургического доступа позволяет полностью удалить новообразование с сохранением жизненно важных структур среднего уха и латерального основания черепа. Purpose. To improve functional results of surgical treatment in patients with temporal bone paraganglioma using a surgical access elaborated and implemented in otosurgeon’s practice. Materials and methods. For the period from February 2015 to February 2023, a total of 203 patients were examined and treated in the Federal State Budgetary Institution National Medical Research Center for Otorhinolaryngology. Volume and technique of surgery were determined depending on the degree of incidence of the tumor in accordance with U. Fisch and D. Mattox the classification modified by М. Sanna in 2013, as well as taking into account own experience. 203 patients with temporal bone paraganglioma were examined and operated: A type – 34 patients, among them 10 patients with A1 type, 24 patients with A2 type; B type – 89 patients, among them 25 patients with B1 type, 27 patients with B2 type, 37 patients with B3 type; C type – 80 patients, 34 patients with C1 type, 13 patients with C2 type, 8 patients with C3 type, 6 patients with C4 type. Of them, 34 were men and 96 were women aged between 28 and 82. Results. Outcomes in the immediate and long-term postoperative period in patients underwent the elaborated surgical access were appraised. All patients noticed improvement of hearing after surgery due to the increase of sound conduction threshold averagely to 10–15 dB. Selective embolization of the vessel feeding the tumor was conducted to all patients with B3 type tumor 24 hours before the surgery. Intraoperatively, patients after embolization demonstrated decreased tumor size and reduced bleeding from the tumor; the difference between extent of blood loss with and without embolization amounted to 100–150 ml. Facial nerve weakness in the immediate and long-term post-operative period was not observed. According to the data of imaging studies tumor recurrence after 6–12 months was not observed. Maximum observation period was 8 years. Conclusion. Suggested algorithm of surgical treatment of patients with temporal bone paraganglioma, based on the data of X-ray diagnostics on the pre-operative stage using endovascular embolization, navigation system, microsurgical technique and endovideocontrol, with the help of the elaborated surgical access, allows a complete removal of the neoplasm while preserving the vital structures of the middle ear and the lateral base of the skull.

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“…Glomangiomas are benign skin tumors characterized by abnormal, smooth muscle-like glomus cells [ 1 ]. The tumors originate from transformed smooth muscle cells in specialized arteriovenous shunts in acral sites, especially the fingertips [ 2 , 3 , 4 ]. Glomangiomas appear in early life as small nodules situated deep in the dermis, scattered on the skin.…”

Section: Introductionmentioning

confidence: 99%

Glomangioma Supply from Profunda Femoris Artery in Peripheral Artery Disease

Lungu

Creţeanu²,

Olteanu

et al. 2022

Clinics and Practice

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This is a case report of a 5.6 cm glomangioma supplied by the femoral profunda artery in a 66-year-old male patient with severe peripheral artery disease. The patient complained of discomfort and mild pain at the place of the lesion and an accelerated growth rate in the last two months. A nodular mass located laterally on the left foot, elastic, covered with a thin skin, and mobile, was noted on the clinical exam. Doppler exam demonstrated an active vascular supply. CT angiography showed a femoral profunda artery blood supply and a severe asymptomatic bilateral peripheral artery disease (PAD). The lesion was removed entirely by surgery. A microscopy exam revealed a glomangioma. After surgery, the patient recovered unevenly. However, the patient experienced wound-healing issues that resolved after four weeks of surgery. Although the patient’s PAD was severe, the lesion presented with a burst in dimensions weeks before surgery.

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Glomus tumors of the head and neck: thirteen years’ institutional experience and management

Cited by 15 publications

References 20 publications

Therapeutic role of selective preoperative embolization in patients with paraganglomas of head and neck

Therapeutic role of selective preoperative embolization in patients with paraganglomas of head and neck

Algorithm of Surgical Treatment of Patients with Temporal Bone Paraganglioma Preserving Anatomical Organization and Sound-Conducting Apparatus of the Middle Ear

Glomangioma Supply from Profunda Femoris Artery in Peripheral Artery Disease

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