Wednesday, 30 September 2015

Surgery of Tympanojugular Paragangliomas – Long Term Results

Surgery of TympanojugularParagangliomas – Long TermResults

Skrivan Jiri*, Zverina Eduard, Kluh Jan, Plzak Jan, Padr Radek and Chovanec Martin

Abstract: Tympanojugular paragangliomas are benign and slow growing lesions of the lateral skull base. Due to their locality and vascularity, they represent a surgical challenge. Treatment modalities include preoperative embolization of feeding vessels and a tumour mass, then surgical removal and irradiation. In our group, 19 patients with large tympanojugular paragangliomas have been operated on in the period of the last 10 years. Surgical removal was achieved in 63% of cases, in the rest of patients the tumour remnants were either irradiated or left without any treatment in a wait-end-rescan approach. According to the benign character of the tumour, removal is not always the highest goal, since this may be accompanied by a high degree of a postoperative morbidity.

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