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经微创经耳道内镜入路切除的小鼓室球瘤

A Small Glomus Tympanicum Tumor Resected by Minimally Invasive Transcanal Endoscopic Approach.

作者信息

Ohki Masafumi, Kikuchi Shigeru

机构信息

Department of Otolaryngology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe-shi, Saitama 350-8550, Japan.

出版信息

Case Rep Otolaryngol. 2019 Jul 9;2019:5780161. doi: 10.1155/2019/5780161. eCollection 2019.

Abstract

We present a case of the transcanal endoscopic resection of a glomus tympanicum tumor. A 51-year-old woman presented with pulsatile tinnitus of the right ear persisting for 6 months. A reddish mass was observed through her tympanic membrane. A computed tomography scan revealed a small mass in the mesotympanum. She was diagnosed with a right-sided glomus tympanicum tumor. The glomus tympanicum tumor was classified as type 1 using the Glasscock-Jackson classification, class A using the Fisch classification, and class A1 using the modified Fisch and Mattox classification. The tumor was transcanally and completely resected by endoscopy without any complication. Before and after the surgery, pure-tone audiometry showed a normal hearing level. Preoperative right-sided pulsatile tinnitus resolved after the surgery. Transcanal endoscopic ear surgery is a favorable surgical method for small localized glomus tympanicum tumors.

摘要

我们报告一例经耳道内镜切除鼓室球瘤的病例。一名51岁女性,右耳搏动性耳鸣持续6个月。透过鼓膜可见一红色肿物。计算机断层扫描显示中耳有一肿物。她被诊断为右侧鼓室球瘤。根据格拉斯科克 - 杰克逊分类法,该鼓室球瘤被归类为1型;根据菲施分类法为A类;根据改良的菲施和马托克斯分类法为A1类。通过内镜经耳道将肿瘤完整切除,无任何并发症。手术前后纯音听力测试显示听力水平正常。术前右侧搏动性耳鸣术后消失。经耳道内镜耳手术是治疗局限性小鼓室球瘤的一种良好手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce12/6652060/73c7b20b2e08/CRIOT2019-5780161.001.jpg

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