经耳道内镜辅助手术切除鼓室球瘤:6例经验

Glomus tympanicum removal using transcanal endoscopic assisted surgery: An experience with six cases.

作者信息

Sahoo Pradipt Ranjan, Sahu Monalisa, Khan Imran Wasfi, Samantaray Kabikanta

机构信息

Department of ENT and Head and Neck Surgery Kalinga Institute of Medical Sciences Bhubaneswar Odisha India.

Department of Infectious Diseases Yashoda Hospitals Hyderabad India.

出版信息

World J Otorhinolaryngol Head Neck Surg. 2023 Jul 16;9(4):302-307. doi: 10.1002/wjo2.103. eCollection 2023 Dec.

Abstract

OBJECTIVE

To evaluate an endoscopic approach in the management of glomus tumor, and also to investigate and evaluate its appropriateness and feasibility.

METHODS

Glomus tumors, also known as paragangliomas, are benign primary tumors of the middle ear. The advent of endoscopic ear surgery has provided new dimensions to the management of this highly vascular tumor. Retrospective analysis of six patients of glomus tympanicum, operated between July 2014 and June 2019, with modified Fisch classification Type A and B1, who were managed by a retroauricular transcanal endoscopic approach. Preoperative and postoperative analysis was done for these patients.

RESULTS

The chief complaint was pulsatile tinnitus, which disappeared in five cases and reduced in severity in one of them. Hearing was improved with reduction in air-bone gap in all the cases. No major complications or recurrence were observed in any of the patients after 12 months of follow-up.

CONCLUSION

This endoscopic approach serves as a safe and reliable technique for tumor removal. It thus provides postoperative comfort for most of the patients.

摘要

目的

评估一种内镜治疗鼓室球瘤的方法,并研究和评估其适用性及可行性。

方法

鼓室球瘤,又称副神经节瘤,是中耳的良性原发性肿瘤。耳内镜手术的出现为这种高血管性肿瘤的治疗提供了新的维度。回顾性分析2014年7月至2019年6月间接受手术的6例鼓室球瘤患者,采用改良Fisch分类法A型和B1型,通过耳后经耳道内镜入路进行治疗。对这些患者进行术前和术后分析。

结果

主要症状为搏动性耳鸣,5例消失,1例症状减轻。所有病例听力均有改善,气骨导差减小。随访12个月后,所有患者均未出现重大并发症或复发。

结论

这种内镜治疗方法是一种安全可靠的肿瘤切除技术。因此,它为大多数患者提供了术后舒适感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90c0/10696267/0ce7f5827173/WJO2-9-302-g003.jpg

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