Treatment results of temporal bone area paragangliomas

Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 5

Abstract

SUMMARY Introduction: Temporal bone paragangliomas are rare, benign neuroendocrine tumors. Depend on their location at skull base, they can extend intracranially and extracranially. They characterize by slowly growth and late nonspecific clinical manifestation. Location of tumor and anatomical condition require suitable operational technique and cause related complications. Aim: The aim of this study was analysis of surgical procedure and evaluation of treatment results of patients with paragangliomas of the temporal bone hospitalized in Department of Otolaryngology of Warsaw Medical University in years 2000-2010. Material and methods: 34 cases of patients were retrospectively studied. Clinical data, level of tumor advancement according to Glasscock & Jackson and Fisch classification were analyzed. Intraoperative and imaging studies data were used to evaluate extent of lesions. Suitable operative approaches and outcome of treatment were also analyzed. Results: In group of 34 patients 26 of them had monocentric and 8 multi-centric neoplasms. Age ranged 15-73-years-old. Most common symptoms were: loss of hearing, tinnitus and headache. Preoperative embolization was carried in 10 cases. Most common surgery technique: tympanotomy and hypotympanotomy posterior and infratemporal fossa of Fisch type A approaches. Radiotherapy was used in 2 cases and surgery with radiation therapy in 7 cases. Most commonly observed complication in surgical treat-ment was intermittent paresis. Conclusion: 1. Main aim of temporal bone area paragangliomas treatment is radical removal of tumor. 2.Adequate surgical technique is selected according to localization and extension of tumor. 3. Preoperative embolization is performed during large paragangliomas treatment. 4. Radiotherapy is a good alternative to surgery in selected patients. 5. Risk of postoperative cranial nerves palsy rise with level of tumor advancement.

Authors and Affiliations

Kazimierz Niemczyk, Izabela Lukawska, Andrzej Kulesza, Antoni Bruzgielewicz, Robert Bartoszewicz

Keywords

Related Articles

Pathologies of lateral nasal wali in children with diagnosed antrochoanal polyps

SUMMARY Antrochoanal polyps are more frequent in children than in adults. Pato-mechanism of their development is stili unclear. New diagnostic methods allow precise examination of lateral nasal wali pathologies. Aim of t...

Endoskopowe leczenie olbrzymich kostniaków podstawy czaszki

SUMMARY Introduction: Osteomas are relatively common, benign, slow-growing neoplasms. Mainly occurring in frontal and ethmoid sinuses. Endoscopic surgery plays an important role in management of ethmoid, sphenoid and fro...

The comparison of the influence of various types of anaesthesia on perioperative bleeding control in endoscopic paranasal sinus surgery

SUMMARY Introduction: The study aimed at evaluating the influence of targeted hypotension with three types of anaesthetics on the amount of blood loss in extensive endoscopic operations of polyps of the nose and paranasa...

Czy zabiegi endoskopowe stanowią przyszłość chirurgii szyi?

The aim of the paper is to present the minimally invasive endoscopic video-assisted surgery for the neck on the basis of current literature. The different techniques include pure endoscopic procedures, open video-assiste...

Download PDF file
  • EP ID EP52354
  • DOI -
  • Views 107
  • Downloads 0

How To Cite

Kazimierz Niemczyk, Izabela Lukawska, Andrzej Kulesza, Antoni Bruzgielewicz, Robert Bartoszewicz (2011). Treatment results of temporal bone area paragangliomas. Otolaryngologia Polska, 65(5), 31-37. https://europub.co.uk/articles/-A-52354