Nonparaganglioma Jugular Foramen Tumors

Thomas, Andrew J.; Wiggins, Richard H.; Gurgel, Richard K.

doi:10.1016/j.otc.2014.12.008

Cited by 23 publications

(17 citation statements)

References 62 publications

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“…We regard the surgery as crucial treatment for large symptomatic JFMs, although it is challenging for surgical management and radiotherapy became an effective alternative for intracranial meningiomas [6,28,52,61]. Patient selection, including preoperative neuroimaging and neurological assessment, surgical approaches and intraoperative preserving cranial nerves, and postoperative management all correlate with the …”

Section: Surgical Managementmentioning

confidence: 99%

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Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Tang

Zhang

et al. 2016

Neurosurg Rev

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This study summarized clinical manifestations, surgical management, histological grading, and long-term outcome of jugular foramen meningiomas (JFMs). Retrospective study was performed in 22 consecutive patients with primary JFMs from January 2004 to October 2010, enrolling 10 men and 12 women with average age of 39.4 (14-57 years). The most common initial symptom is hearing disorder, followed by lower cranial nerve dysfunctions. The tumor was classified into type I (intracranial) in 1, type II (intracranial) in 15, type IV (intracranial-extracranial) in 6, and none type III (extracranial). Surgical approaches mainly included retrosigmoid in 7, far lateral in 10, and juxtacondylar in 5, with some variations. The gross total resection was achieved in 15 cases and subtotal resection in 7. Fourteen patients (63.6 %) developed new or worse neurological deficits immediately after operation, of whom 11 (78.6 %) got alleviation. Postoperatively, keeping airway patency and prevention from aspiration pneumonia is very important. Nasotracheal intubation is much more tolerated than orotracheal intubation for postoperative patient management. WHO grade 2 was found in four cases (18.2 %) and grade 3 in one. During the average time of follow-up in 83.2 months, only one (grade 3) died of tumor regrowth 20 months after surgery and radiosurgery. Five of 17 patients of grade 1 developed tumor regrowth. Radiosurgery provides a good tumor control for tumor regrowth in grade 1, or postoperative grade 2 tumor. In conclusion, JFMs has a favorable long-term overall survival; however, neurological preservation is still challenging, especially low cranial nerves.

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Section: Surgical Managementmentioning

confidence: 99%

“…[21,50,61]. Due to its deepseated complex neurovascular structure, the surgical management of jugular foramen tumors involves multidisciplinary skull base team works and still is a challenge to surgeons [5,36,50,51,61].…”

Section: Introductionmentioning

confidence: 99%

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Tang

Zhang

et al. 2016

Neurosurg Rev

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“…Jugular foramen (JF) tumors include jugular paraganglioma (JP), the most common primary tumor of the JF, and less commonly, schwannomas, meningiomas, or metastatic disease. 1,2 Jugular paraganglioma incidence is 1 per 1.3 million people per year; it is more common in women (3-6:1 women:men) and often diagnosed at 40 to 60 years of age. 1-3 Jugular paragangliomas are slow growing and generally considered benign, though local growth may result in symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Jugular paraganglioma incidence is 1 per 1.3 million people per year; it is more common in women (3-6:1 women:men) and often diagnosed at 40 to 60 years of age. 1-3 Jugular paragangliomas are slow growing and generally considered benign, though local growth may result in symptoms. All JF lesions are associated with cranial nerve (CN) dysfunction, particularly of the lower CNs, as well as auditory and vestibular symptoms.…”

Section: Introductionmentioning

confidence: 99%

“…All JF lesions are associated with cranial nerve (CN) dysfunction, particularly of the lower CNs, as well as auditory and vestibular symptoms. 1 The most common symptoms of JPs are pulsatile tinnitus and hearing loss, and the most common finding on exam is a pulsatile red mass behind the tympanic membrane. 2,3 Imaging is the mainstay of diagnosing JF lesions.…”

Section: Introductionmentioning

confidence: 99%

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Metastatic Renal Cell Carcinoma Masquerading as Jugular Foramen Paraganglioma: A Role for Novel Magnetic Resonance Imaging

Thomas

Wiggins

Gurgel

2017

Ann Otol Rhinol Laryngol

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Transoral Approach to the Jugular Foramen Region with Preservation of the Eustachian Tube

London

et al. 2022

The Laryngoscope

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Objectives/Hypothesis Transnasal exposure of the jugular foramen region (JFR) often requires transection of the Eustachian tube (ET). This study aims to propose a transoral corridor for access to the JFR with preservation of the ET. Study Design Cadaveric dissection and case illustration. Methods An endoscopic transoral approach for exposure of the JFR was performed on 5 cadaveric specimens (10 sides). Six patients who underwent a transoral resection of schwannoma within the JFR were retrospectively analyzed. Results Direct exposure of the JFR with a 0° scope via a transoral approach was feasible, and the internal carotid artery and lower cranial nerves could be adequately exposed, and preservation of the ET was achieved in all 10 sides of the cadaveric specimens. For six patients with JFR tumors, the transoral approach provided adequate access to achieve a gross total resection with ET preservation. Intraoperative cerebral spinal fluid (CSF) leak was encountered in one patient, and a multilayer reconstruction was employed for reconstruction. No operative field or intracranial infection, persistent CSF leak, or emergent airway issues occurred. No recurrence occurred in this cohort with an average follow‐up of 12 months. Conclusions The transoral approach provided a reliable corridor for access into the JFR with preservation of the ET. For select lesions with expansion into the posterior cranial fossa, a transoral corridor may serve as an alternative for tumor extirpation. Level of Evidence 4 Laryngoscope, 132:1374–1380, 2022

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Nonparaganglioma Jugular Foramen Tumors

Cited by 23 publications

References 62 publications

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature

Metastatic Renal Cell Carcinoma Masquerading as Jugular Foramen Paraganglioma: A Role for Novel Magnetic Resonance Imaging

Transoral Approach to the Jugular Foramen Region with Preservation of the Eustachian Tube

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