Surgical management of tympanojugular paragangliomas using the flexible CO

Autor: Stephan, Hackenberg, Till Jasper, Meyer, Johannes, Häfner, Matthias, Scheich, Manuel, Stöth, Fadi, Al-Tinawi, Tilmann, Neun, Robert, Mlynski, Rudolf, Hagen, Agmal, Scherzad
Rok vydání: 2022
Předmět:
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 279(12)
ISSN: 1434-4726
Popis: Surgery is a standard therapy for tympanojugular paragangliomas (TJP). Maintaining the quality of life (QoL) requires functional preservation. The flexible COBetween 2005 and 2019, 51 patients with TJP were surgically treated at a tertiary hospital. Until 2012, 17 patients received conventional surgery. Thereafter, the flexible laser was used in 34 patients. Tumor extend, pre- and postoperative cranial nerve function, and complications were compared between the groups.The cohort consisted of 33 class A and B tumors and 18 class C and D tumors. Preoperative embolization was performed in 17 cases. Class C/D TJP were usually removed via an infratemporal fossa type A approach. Gross total tumor removal was achieved in 14/18 class C/D tumors. 3/51 patients suffered from long-term partial or complete facial palsy. No differences in post-therapeutic cranial nerve function or complications were noted between the conventional and laser group. One recurrence was observed after complete tumor resection.The flexible CO
Databáze: OpenAIRE