PMID: 16639280Apr 28, 2006Paper

Resection of a recurrent paraganglioma via an endoscopic transnasal approach to the jugular fossa

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Lee A ZimmerCarl H Snyderman

Abstract

To present a novel endoscopic, transnasal approach to a recurrent paraganglioma of the jugular fossa (glomus jugulare). Case report and review of the literature. The study was carried out at the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, U.S.A. A 64-year-old woman presented to the University of Pittsburgh Medical Center with a 9-month history of left otalgia, occasional vertigo, facial pain, and recurrent epistaxis. She had undergone two previous procedures over the past 35 years for a glomus tympanicum. Physical examination revealed a mass in the left nasopharynx originating from the eustachian tube. A computed tomographic scan revealed an expansive mass in the left jugular foramen extending into the posterior parapharyngeal space suggestive of a large jugular paraganglioma. The patient underwent preoperative embolization of the paraganglioma. An endoscopic, transnasal approach along the eustachian tube, the ascending parapharyngeal carotid artery, and into the jugular fossa was used to remove the tumor. Intraoperative image guidance assisted in the identification of key anatomic landmarks. Postoperative magnetic resonance imaging revealed a thin rim of enhancement at the posterior aspect of the jugular...Continue Reading

References

Nov 1, 1978·The Journal of Laryngology and Otology·U Fisch
Nov 1, 1993·The Laryngoscope·C I WoodsC G Jackson
Apr 29, 1999·American Journal of Rhinology·C H SnydermanJ R Grandis
Dec 1, 1953·The Annals of Otology, Rhinology, and Laryngology·S R GUILD
Sep 15, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Carl SnydermanAmin Kassam

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Citations

Oct 15, 2009·The Keio Journal of Medicine·Carl H SnydermanAmin B Kassam
Mar 23, 2011·Acta otorrinolaringológica española·Miriam Portero de la TorreFrancisco A Bravo Rodríguez
Jun 26, 2009·The Laryngoscope·Collin M BurkartLee A Zimmer
Jan 19, 2012·The Laryngoscope·Felipe S G FortesLuiz U Sennes
Aug 8, 2015·Journal of Neurosurgery·Masaaki TaniguchiEiji Kohmura
Nov 26, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Juan LiuNa Ma
May 13, 2009·Clinical and Experimental Otorhinolaryngology·Steve C Lee, Brent A Senior
Aug 26, 2017·Operative Neurosurgery·Francisco Vaz-GuimaraesJuan C Fernandez-Miranda

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