Complications in the management of large glomus jugulae tumors
- 1 February 1987
- journal article
- Published by Wiley in The Laryngoscope
- Vol. 97 (2), 152-157
- https://doi.org/10.1288/00005537-198702000-00005
Abstract
This study analyzes the complications encountered in the surgical treatment of 17 patients with large glomus jugulare tumors. All 17 patients sustained either new cranial nerve palsies or exacerbation of preexisting palsies. These involved, in descending order of frequency, the facial nerve, the vagus and glossopharyngeal nerves, and the hypoglossal nerve. Post-operative palsies of the facial nerve involved 17 patients, as compared to 5 preoperatively. Fifteen patients had postoperative partial or complete paralysis of the vagus nerve as compared to eight preoperatively. Ten patients had postoperative palsies of the hypoglossal nerve as compared to six preoperatively. Other complications included CSF leak, meningitis, and wound infection. Aspiration and dysphagia were encountered postoperatively in 13 patients. Teflonr̀ injection of paretic vocal cords and cricopharyngeal myotomy effectively improved the ability to swallow and the quality of the voice. Prompt recognition and treatment of complications is essential for effective surgical management of large glomus jugulare tumors.Keywords
This publication has 21 references indexed in Scilit:
- Diagnosis and management of catecholamine secreting glomus tumors.The Laryngoscope, 1984
- Glomus Tumors: Diagnosis, Classification, and Management of Large LesionsJAMA Otolaryngology–Head & Neck Surgery, 1982
- Glomus Tumors of the Temporal Region: Technique of Surgical ResectionJAMA Otolaryngology–Head & Neck Surgery, 1981
- Immediate Postembolization Excision of Glomus Jugulare Tumors: Advantages of New Combined TechniquesJAMA Otolaryngology–Head & Neck Surgery, 1979
- Panel discussion: Glomus jugulare tumors of the temporal bone. Radiation of glomus tumors of the temporal boneThe Laryngoscope, 1979
- Panel discussion: Glomus jugulare tumors of the temporal bone. The surgical management of glomus tumorsThe Laryngoscope, 1979
- A COMPARISON OF THERAPEUTIC MODALITIES OF GLOMUS TUMORS IN THE TEMPORAL BONEThe Laryngoscope, 1976
- Glomus jugulare tumor — A radiographic‐histologic correlationThe Laryngoscope, 1971
- Selection of Therapy of Glomus Jugulare TumorsJAMA Otolaryngology–Head & Neck Surgery, 1969
- Glomus Jugulare Tumors: VI. Follow-Up of CasesJAMA Otolaryngology–Head & Neck Surgery, 1968