Paragangliomas de cabeza y cuello: experiencia en 126 pacientes con 162 tumores

Morujo, R. J González Orús Álvarez; Ruiz, Maximino; Belisario, Julia da Costa; Guirado, Tomás Martinez; Yurrita, Bartolomé Scola

doi:10.1016/j.otorri.2014.11.002

Cited by 12 publications

(4 citation statements)

References 26 publications

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“…The reported incidences of new post-operative lower CN deficits after JTPGL surgery, between 5 and 59 % across the literature in the past 20 years, were also revisited [18]. A recent Spanish study further reports a 45.5 % post-operative CN deficit in JTPGLs overall, rising to 100 % in tumors with intradural extension [19]. The noticeably low incidence of post-operative CN deficits in our cohort can be explained by the avoidance of CN sacrifice in favor of subtotal tumor resection.…”

Section: Follow-up and Outcomementioning

confidence: 99%

Jugulotympanic paragangliomas in southern Finland: a 40-year experience suggests individualized surgical management

Nicoli

Sinkkonen

Anttila

et al. 2016

Eur Arch Otorhinolaryngol

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Treatment of jugulotympanic paragangliomas (JTPGLs) remains challenging with no clear guidelines for management or follow-up. The aim of this retrospective case-note study was to assess long-term results of operatively and conservatively managed JTPGLs between years 1974-2013. A total of 36 patients with JTPGLs were identified. Clinical characteristics and management outcomes of patients were reviewed. Data were extracted on demographics, symptoms, timing of diagnosis, tumor location and size, embolization, and management, including pre- and post-operative imaging, analysis of operative techniques, and follow-up. Pulsatile tinnitus and hearing loss were the most common presenting symptoms. Thirty-four (94 %) patients were treated with primary surgical therapy and two (6 %) with radiotherapy. The surgical approaches included endaural approach for Fisch Class A tumors and a variety of approaches for Fisch Class B-D tumors with an increasing predilection for function-preserving surgery. Eight (24 %) patients received subtotal resection. Five (15 %) patients had a local recurrence within 10 years after primary surgery. Two (6 %) patients suffered a permanent cranial nerve (CN) deficit after primary surgery. We advocate radical surgery when tumor resection is possible without compromising CNs. Function-preserving surgery with at least a 10-year follow-up for Fisch Class B-D tumors should be considered if CNs are in danger.

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Section: Follow-up and Outcomementioning

confidence: 99%

Jugulotympanic paragangliomas in southern Finland: a 40-year experience suggests individualized surgical management

Nicoli

Sinkkonen

Anttila

et al. 2016

Eur Arch Otorhinolaryngol

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“…It accounts for 1 out of 30,000 head and neck tumors cases with 65% occurring in the carotid body region and are termed as CBP. [10] Sporadic and familial are two types of CBPs of which the sporadic form are most commonly seen.…”

Section: Discussionmentioning

confidence: 99%

Carotid body paraganglioma

Hosalkar

Khivasara

Swain

2019

Ann Maxillofac Surg

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Carotid body paraganglioma (CBP) is a type neuroendocrine tumour arising from paraganglial chief cells of carotid body. Situated at the bifurcation of the common carotid artery, it constitutes 0.5% of all body tumours. Though CBP's is most common paraganglioma of head and neck it is a rare neoplasm and requires a thorough examination for a proper diagnosis and therapeutic management. Here, we present a case of 36 year old female patient with CBP in left side of the neck.

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“…González-Orús Álvarez-Morujo et al 34 performed a retrospective study on 126 patients with jugulotympanic paragangliomas, 45% of them presenting lesions of the cranial nerves IX, X, XI, XII. Considering the function of the facial nerve, a comparison was made regarding the functional effects after nerve transposition (28 patients) and without nerve transposition (9 patients).…”

Section: Treatment Of Jugulotympanic Paragangliomas and Functional Re...mentioning

confidence: 99%

“…41 patients required surgery to recover swallowing and phonation -medial thyroplasty (15 patients), intracordal injection of autologous fat (16 patients), injection of botulinum toxin into the cricopharyngeal muscle (7 patients), myotomy of the cricopharyngeal muscle (3 patients), hyaluronic acid in the soft palate (1 patient). 5 patients required surgery for facial cosmetic recovery by injection of hyaluronic acid on the eyelid and 10 patients benefited from the implantation of a weight on the upper eyelid 34 .…”

Section: Treatment Of Jugulotympanic Paragangliomas and Functional Re...mentioning

confidence: 99%

Functional recovery after surgical approach of jugulotympanic glomus tumors

Sarafoleanu

Bejenariu

Enache

et al. 2022

Romanian Journal of Rhinology

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Paragangliomas are tumors of the neuroendocrine system, which arise from the neural crest and chemoreceptor cells. They can be found in the adrenal gland, in the aortic arch, in the jugular bulb or at the level of the cochlear promoter. Glomus tumors grow slowly, are well vascularized, invasive and locally aggressive. Because of their anatomic relation with the jugular bulb, the internal carotid artery, the facial nerve and the cranial nerves IX, X, XI, XII, the patients may develop important complications. Therapeutic options for head and neck paragangliomas are surgical treatment with endovascular embolization, conventional radiotherapy, stereotactic radiosurgery or a combination of these therapeutic methods. In case of paragangliomas, it is essential to take into consideration the size and localization of the tumor, in order to establish the proper therapeutic approach, either conservative, radiotherapy or surgical, due to the risk of postoperative nerve palsies, details that we try to cover in this review. In order to emphasise the importance of correct diagnosis, proper treatment, postoperative complications and postoperative functional recovery in the case of glomus tumors, we present the case of a 35-year-old female who was diagnosed and surgically treated for a right jugulotympanic paraganglioma. The postoperative cranial nerve injuries involved VII, IX and X nerves and the patient followed multiple protocols of functional recovery for the affected nerves. After specific therapy, the patient partially recovered the function of the right facial nerve; deglutition and voice were significantly improved.

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Paragangliomas de cabeza y cuello: experiencia en 126 pacientes con 162 tumores

Cited by 12 publications

References 26 publications

Jugulotympanic paragangliomas in southern Finland: a 40-year experience suggests individualized surgical management

Jugulotympanic paragangliomas in southern Finland: a 40-year experience suggests individualized surgical management

Carotid body paraganglioma

Functional recovery after surgical approach of jugulotympanic glomus tumors

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