Surgical management of previously untreated glomus jugulare tumors

Green, J. D.; Brackmann, Derald E.; Nguyen, Cyrus; Arriaga, Moisés A.; Telischi, Fred F.; Cruz, Antonio De la

doi:10.1288/00005537-199408000-00001

Cited by 118 publications

(155 citation statements)

References 13 publications

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“…In our series, all tumors had intracranial component and auditory dysfunction was present in all cases. The jugular foramen syndrome is not always present 16 ; however, normal cranial nerve function before surgery does not exclude cranial nerve tumor infiltration 21 . Glomus jugulare tumors are more common in female patients 5,14,19,21,22 .…”

Section: Discussionmentioning

confidence: 99%

“…The jugular foramen syndrome is not always present 16 ; however, normal cranial nerve function before surgery does not exclude cranial nerve tumor infiltration 21 . Glomus jugulare tumors are more common in female patients 5,14,19,21,22 . Multiple paragangliomas are found in approximately 10% of cases 5,16,21,23 .…”

Section: Discussionmentioning

confidence: 99%

“…Glomus jugulare tumors are more common in female patients 5,14,19,21,22 . Multiple paragangliomas are found in approximately 10% of cases 5,16,21,23 . The presence of bilateral glomus jugulare or contralateral glomus vagale tumor may result in postoperative bilateral lower cranial nerve palsies 16 .…”

Section: Discussionmentioning

confidence: 99%

“…The mean time between the initial symptoms and the diagnosis demonstrate the slow growth pattern of paragangliomas 5,22 and schwannomas 13,14 , as found in our series. The mean age at presentation is around the fifth decade 5,19,21 .…”

Section: Discussionmentioning

confidence: 99%

“…Radiotherapy is not curative and has no activity in the tumoral cells but in the vascular supply limiting the tumor vascularity leading to fibrosis 5 . This kind of treatment may be indicated in patients with poor surgical condition and residual or recurrent tumors 5,21,22,30 . The age may be a limiting factor but the therapeutic decision must be individually considered.…”

Section: Jugular Foramen Anatomy -mentioning

confidence: 99%

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Intradural jugular foramen tumors

Mattos

Ramina

Borges

et al. 2004

Arq. Neuro-Psiquiatr.

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-Eleven patients with jugular foramen lesions with or without extradural extension were operated at University Hospital of Campinas (UNICAMP), in Campinas, Brazil, between 1998 and. Neck dissection, mastoidectomy without transposition of the facial nerve and myofascial flap reconstruction of the cranial base with an especially developed technique were carried out in 7 patients. Four patients were operated using retrosigmoid craniectomy. Total excision was accomplished in 9 cases. All patients did not show evidence of disease progression at least after 2 years follow-up. There was no mortality. New lower cranial nerve deficits occurred in 5 patients. Nine maintain or improved their preoperative status based on Karnofsky and Glasgow Outcome Scale. A complex anatomy of this region demand wide exposures for treat those tumors. For this reason, an adequate approach for curative resection of most lesions and an efficient skull base reconstruction decreasing postoperative morbidity are essential.KEY WORDS: jugular foramen, posterior fossa tumor, lower cranial nerves, skull base reconstruction, glomus tumor. Tumores intradurais do forame jugularRESUMO -Onze pacientes com lesões expansivas do forame jugular associadas ou não a componente extradural foram submetidos a ressecção cirúrgica no Hospital das Clínicas da Universidade Estadual de Campinas (UNI-CAMP) entre 1998 e 2001. Foi utilizada cirurgia combinada com dissecção do pescoço, mastoidectomia sem transposição do nervo facial e técnica de reconstrução miofascial da base do crânio desenvolvida por um dos autores. Quatro pacientes foram operados via craniectomia retrosigmoidea. Ressecção total foi feita em 9 pacientes, subtotal em um e parcial em outro. Nenhum dos 11 pacientes teve progressão da doença em 2 anos de acompanhamento. Não houve mortalidade. Cinco pacientes tiveram déficits adicionais de nervos cranianos baixos. Nove pacientes mantiveram ou melhoraram suas pontuações de acordo com a escala de Karnofsky. Para adequada abordagem do paciente com tumor de forame jugular, são necessários bom conhecimento anatômico da região, exposição cirúrgica ampla, e técnica de reconstrução eficiente para obter cura com baixas taxas de complicações pós-operatórias. PALAVRAS-CHAVE: forame jugular, tumor de fossa posterior, nervos cranianos baixos, reconstrução de base de crânio, tumor de glomus jugular.Jugular foramen (JF) lesions are rare, being paragagliomas and schwannomas the most common tumors 1, 2 . Complete resection of these benign lesions is the treatment of choice. The surgical management of JF lesions remains difficult because their deep location, locally aggressive behavior, involvement of vessels and nerves, infiltration of skull base bone and structures of the high cervical region and the complex anatomy of the region. In the last decades, development of new skull base approaches allowed total resection of large number of skull base tumors. However, the more aggressive the surgical approach becomes, more complications related to it may occur. Reconstru...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Jugular Foramen Anatomy -mentioning

confidence: 99%

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Intradural jugular foramen tumors

Mattos

Ramina

Borges

et al. 2004

Arq. Neuro-Psiquiatr.

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Estimation of growth rate in patients with head and neck paragangliomas influences the treatment proposal

Jansen

Berg

Kuiper

et al. 2000

Cancer

262

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BACKGROUND Extraadrenal paragangliomas of the head and neck are tumors with variable clinical behavior. Because tumor growth as well as surgery can cause disabling loss of function, knowledge of the natural history of paragangliomas is important for the development of treatment strategies. METHODS The tumor volume, growth rate, and tumor doubling time of 48 paragangliomas at different anatomic locations in the head and neck region were estimated retrospectively using sequential radiologic imaging. RESULTS During a mean follow‐up period of 4.2 years, a volume increase of > 20% was observed in 60% of the paragangliomas. In these cases the median growth rate was 1.0 mm/year and the median tumor doubling time was 4.2 years. More growing tumors were observed in intermediate size tumors than in very small or large paragangliomas, suggesting a biphasic growth pattern. CONCLUSIONS The majority of head and neck paragangliomas have a very low growth rate. Although management of paragangliomas also is determined by other parameters, preoperative estimation of the tumor doubling time may influence the treatment proposal. A “wait and scan” policy must be considered in all cases. Cancer 2000;88:2811–6. © 2000 American Cancer Society.

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Stereotactic linear accelerater‐based radiosurgery for the treatment of patients with glomus jugulare tumors

Maarouf

Voges

Landwehr

et al. 2003

Cancer

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Activated layered double hydroxides (LDHs) with high crystallinity, obtained by calcination/rehydration of LDH precursors synthesized by urea decomposition, have higher catalytic activity in acetone self‐condensation and Knoevenagel reactions than less crystalline materials obtained from LDH precursors synthesized by titration co‐precipitation. The activated LDHs possess both basic and acidic sites. High resolution transmission electron microscopy (HRTEM) confirms that the highly crystalline activated LDHs retain the lattice structure of the LDH precursors with lattice parameters a = b = 0.31 ± 0.01 nm and α = 60 ± 2°. An acid‐base catalytic mechanism has been proposed to interpret the catalytic behavior based on the fact that acid‐base hydroxyl group pairs on the activated LDH surface have a separation of 0.31 nm. It is proposed that the active sites are mainly located on the ordered array of hydroxyl sites on the basal surfaces rather than on the edges, as has been previously suggested. © 2007 American Institute of Chemical Engineers AIChE J, 2007

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Surgical management of previously untreated glomus jugulare tumors

Cited by 118 publications

References 13 publications

Intradural jugular foramen tumors

Intradural jugular foramen tumors

Estimation of growth rate in patients with head and neck paragangliomas influences the treatment proposal

Stereotactic linear accelerater‐based radiosurgery for the treatment of patients with glomus jugulare tumors

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