Guo Dandan, Liu Yuehong, Zhuang Wenjie, Han Zhao
Department of Otolaryngology，Huadong Hospital Affiliated to Fudan University，Shanghai，200040，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Sep;38(9):839-842. doi: 10.13201/j.issn.2096-7993.2024.09.012.
To investigate the clinical experience of glomus jugulare paraganglioma by presenting a case of giant glomus jugulare paraganglioma. The clinical data of 1 case of giant glomus jugulare paraganglioma with unilateral anacousia and pulsatile tinnitus admitted to our department was retrospectively analyzed, and the relevant literature was reviewed to summarize the characteristics of the disease. The tumor tissue in the jugular venous foramen region was completely resected, with complete preservation of the facial nerve during the operation. There was no tumor recurrence during the 2-year postoperative follow-up period. With nonspecific clinical symptoms and a high rate of early misdiagnosis The giant glomus jugulare paraganglioma case only manifested as symptoms of unilateral anacousia and pulsatile tinnitus is clinically rare. The intraoperative safe resection of the tumor, maximum preservation of facial nerve function remains the focus of surgery.
通过呈现一例巨大颈静脉球副神经节瘤病例来探讨颈静脉球副神经节瘤的临床经验。回顾性分析了我科收治的1例以单侧听力减退和搏动性耳鸣为表现的巨大颈静脉球副神经节瘤的临床资料，并复习相关文献以总结该疾病的特点。术中完整切除了颈静脉孔区的肿瘤组织，面神经得以完全保留。术后2年随访期间无肿瘤复发。由于临床症状不具特异性且早期误诊率高，仅表现为单侧听力减退和搏动性耳鸣症状的巨大颈静脉球副神经节瘤病例临床上较为罕见。术中安全切除肿瘤、最大程度保留面神经功能仍是手术的重点。
