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[颈静脉鼓室球瘤:11例报告]

[Jugulotympanic glomus tumors: a report of 11 cases].

作者信息

Wang T, Cheng Y, Li X, Ding S, Rong B

机构信息

Department of Otorhinolaryngology, Affiliated Hospital, Shandong Medical University, Jinan 250012, China.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 2000 Oct;35(5):348-51.

Abstract

OBJECTIVE

To evaluate the surgical technique in removal of jugulotympanic glomus tumor.

METHODS

Retrospective analysis of surgical techniques and effects of the surgical treated 11 cases (1982-1998) of jugulotympanic glomus tumors (tympanic type I, 1, II, 1, IV, 3; jugular type I, 1, III, 5).

RESULTS

The tumors of all 11 patients were removed completely and the wounds healed smoothly. Only one case had postoperative laryngeal nerve paralysis. There was no recurrence after 1-8 years follow-up.

CONCLUSION

Suitable surgical techniques are available for removal of jugulotympanic glomus tumors and are chosen according to the size and location of the tumor. Postauricular incision is suitable for Glomous tympanicum Type II, III, IV. Since postauricular incision with superior and inferior extension provides a good exposure of the neck and temporal bone, it is suitable for surgical removal of Glomus jugulare type I. In case of Glomus jugulare type III, postauricular large "C" incision may be chosen for resection of the mid- and infra-temporal fosse, neck and skull base tumor.

摘要

目的

评估颈静脉鼓室球瘤的手术切除技术。

方法

回顾性分析1982年至1998年手术治疗的11例颈静脉鼓室球瘤(鼓室型I型1例、II型1例、IV型3例;颈静脉型I型1例、III型5例)的手术技术及效果。

结果

11例患者肿瘤均完全切除,伤口愈合顺利。仅1例术后出现喉返神经麻痹。随访1至8年无复发。

结论

有合适的手术技术可用于切除颈静脉鼓室球瘤,应根据肿瘤大小及位置选择。耳后切口适用于鼓室球瘤II型、III型、IV型。因上下延伸的耳后切口能良好暴露颈部及颞骨,故适用于颈静脉球瘤I型的手术切除。对于颈静脉球瘤III型,可选择耳后大“C”形切口切除颞中、颞下窝、颈部及颅底肿瘤。

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