Izumikawa F, Yanagihara N, Matsuoka I
Arch Otorhinolaryngol. 1978 Sep 28;221(2):143-7. doi: 10.1007/BF00455885.
A 35 year-old Japanese female complained of a right-sided pulsation tinnitis, hearing disturbance, and facial weakness. Extensive radiographic studies including angiograms and retrograde juglar venography provided a diagnosis and localization of a tumor. Radical mastoidectomy was performed and a red grape-like glomus juglare tumor along the facial nerve was extirpated as there was a profuse hemorrhage from the tumor mass. Cryosurgery was then performed. Complete surgical removal is possible when the tumor is small, however, when the tumor involves the middle ear and mastoid area, complete extirpation cannot always be done. Radical mastoidectomy plus cryosurgery appears to be the most feasible management in the surgical treatment of glomus juglare tumor.
一名35岁的日本女性主诉右侧搏动性耳鸣、听力障碍和面肌无力。包括血管造影和逆行颈静脉造影在内的广泛影像学检查对肿瘤进行了诊断和定位。由于肿瘤大量出血，遂行根治性乳突切除术，切除了沿面神经的一颗红葡萄样颈静脉球瘤。然后进行了冷冻手术。肿瘤较小时可实现完全手术切除，然而，当肿瘤累及中耳和乳突区域时，不一定总能完全切除。根治性乳突切除术加冷冻手术似乎是颈静脉球瘤手术治疗中最可行的处理方法。
