关键词: 颈静脉球瘤, 诊断, 治疗, 手术入路/颞下窝

Abstract:

Objective    To investigate the clinical feature, diagnosis and management of glomus jugulare tumors and operative methods for complex tumors. Method    The data of eight cases of glomus jugulare tumors were retrospectively analyzed. Results    Among 8 patients, 5 were females and 3 males with average age of 41 years(33-62 years). The tumors were located in the left ear in 2 cases and the right in 6 cases. Pulsatile tinnitus, hoarse voice, hearing loss and prosopoplegia wer  the main symptoms. Final diagnosis depended on clinical manifestation, CT and/or MRI. According to the Fisch classification, the tumor in 1 ear was type B, 1 was type C, 2 were type D1 and 2 were type D2. All the tumors were  completely removed; two had recurrence after 3 years; 4 patients with residual tumor had no changes after taking radiotherapy of 3 years. Conclusion    Surgical approaches allow complete resection of the tumor. And pre-operative embolization is able to reduce the operation time and blood loss.

Key words: Lateral basicranial approach, Treatment, Diagnosis, Glomus jugulare tumor;