Jugular Foramen Tumor; Experience in Tertiary Care Center
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Objective Jugular foramen tumour is a locally invasive, tumor, which grow slowly and causes various symptoms such as pulsatile tinnitus and lower cranial nerve palsy. Complete surgical resection is regarded as the ideal management of these tumors. The goal is to study the clinical characteristics and most effective surgical approaches for jugular foramen tumour. Methods Retrospective analysis of 7 jugular foramen tumour ,patients who underwent surgical resection between 2011 and 2017 was performed. Clinical records were reviewed for analysis of initial clinical symptoms and signs, audiological examinations, neurological deficits, radiological features, surgical approaches, extent of resection, treatment outcomes and complications. Results Most common initial symptom was hearing loss, followed by pulsatile tinnitus. Seven out of 7 patients had at least one lower cranial nerve palsy. Total of 7 operations took place in 7 patients. Total resection was achieved in 5 cases, when partial resection was done in 2 cases. Two patients with partial resection received gamma knife radiosurgery (GKS). No mortality was encountered and there were few postoperative complications. Conclusion Neurologic examination of lower cranial nerve palsy is crucial since most patients had at least one lower cranial nerve palsy. All tumors were detected in advanced stage due to slow growing nature and lack of symptom. Angiography with embolization is crucial for successful tumor removal without massive bleeding. Transmastoid retro auricular approach can be considered as a safe, satisfactory approach for removal of jugular foramen tumours. In tumors with intracranial extension, combined approach is recommended in that it provides better surgical view and can maintain the compliance of the patients.
Authors and Affiliations
Dr B Hayagriva Rao, Dr P Prahaladu, Dr Kadali Satya Vara Prasad, Dr B. V S Raman, Dr K Krishna Kishore
Keywords
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- EP ID EP375938
- DOI 10.9790/0853-1706050106.
- Views 51
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