Moret J, Roulleau P, Poncet E, Vignaud J
Ann Otolaryngol Chir Cervicofac. 1977 Sep;94(9):491-8.
In this article, the authors stress three fundamental points in the diagnostic and therapeutic angiographic study of tympano-jugular glomus tumours. The first basic concept is the need for complete right, left, internal carotid, vertebral and external carotid angiographic examination. The latter must be selective, regardless of the information provided by common carotid arteriography. This implies prior knowledge of the different arteries which may "supply" the gloumus tumour. The second basic point is the concept of vascular compartment, , often mutually independent and vascularised by a single pedicle. The juxtaposition of the different vascular compartments gives the exact size of the tumour. The third important point concerns embolisation carried out at the same time as diagnostic angiography. This is invariably indicated on a pre-operative basis, except in two circumstances: --when the glomus, tumour is small and situated close to the drum of the tympanum, its surgical excision posing no problem of haemostasis under these circumstances: --when radiotherapy is envisaged as treatment of the glomus tumour when surgery is impossible. In this case, embolisation is contraindicated for two reasons: -radiotherapy is more effective when blood flow is preserved; -the risks of necrosis are increased.
在本文中，作者强调了鼓室 - 颈静脉球瘤诊断性和治疗性血管造影研究中的三个基本要点。第一个基本概念是需要进行完整的右、左、颈内、椎动脉和颈外动脉血管造影检查。后者必须是选择性的，无论颈总动脉造影提供的信息如何。这意味着要事先了解可能“供应”球瘤的不同动脉。第二个基本要点是血管腔隙的概念，这些腔隙通常相互独立，由单个蒂供血。不同血管腔隙的并列显示出肿瘤的确切大小。第三个要点涉及与诊断性血管造影同时进行的栓塞术。除了以下两种情况外，术前通常都需要进行栓塞：——当球瘤较小且位于鼓膜附近时，在这种情况下手术切除不存在止血问题；——当无法进行手术而设想用放射治疗球瘤时。在这种情况下，栓塞术是禁忌的，原因有两个：——保留血流时放射治疗更有效；——坏死风险会增加。
