Long term surgical and hearing outcomes in the management of tympanomastoid paragangliomas

Patnaik, Uma; Prasad, Sriranga; Medina, María del Mar Venegas; D’Orazio, Flavia; Falcioni, Maurizio; Piccirillo, Enrico; Russo, Alessandra; Sanna, Mario

doi:10.1016/j.amjoto.2015.01.006

Cited by 18 publications

(49 citation statements)

References 19 publications

(30 reference statements)

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“…Large class B3 tumors need an infratemporal fossa approach type A. 1,10 Endoscopic excision of tympanic paraganglioma was first reported by Marchioni et al, in 2013. Endoscopic approach provides round-the-corner views of hidden recesses and avoiding unnecessary external incisions and soft tissue and bone dissection.. 11,12 In their approach they used either a stapedotomy type meatal incision or totally degloved the tympanic membrane using a 360° incision in the bony meatal skin.…”

Section: Discussionmentioning

confidence: 99%

Transcanal Endoscopic excision of tympanic paraganglioma, a report of our surgical technique

Mohammed¹,

Ahmed²,

Abdullah³

et al. 2020

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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Paraganglioma is the commonest middle ear tumor and the 2 nd most common temporal bone tumor after vestibular schwannoma. Different classification systems have been proposed based on the extension of the tumor. Diagnosis is based on both clinical and radiological features. CT is valuable in defining the extension of the lesion and excluding erosion of the jugular bony plate. Endoscopic excision of these tumors has been described in the early 2010s. We report a case of female patient 40-years-old with right tympanic paraganglioma extending to the protympanum and hypotympanum. Exclusive transcanal endoscopic excision was performed.

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Section: Discussionmentioning

confidence: 99%

Transcanal Endoscopic excision of tympanic paraganglioma, a report of our surgical technique

Mohammed¹,

Ahmed²,

Abdullah³

et al. 2020

Egyptian Journal of Neck Surgery and Otorhinolaryngology

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“…A female preponderance of more than 90% with female/male ratio of 9:1 is reported in maximum literature. 5,7,8,12 There were 6(60%) females and 4(40%) males with female/male ratio of 3;2 in our series. The mean age at diagnosis was 37.5 years in this study which is dissimilar with other studies where mean age was 51-56.2 years 5 , 11,13,15 .…”

Section: Resultsmentioning

confidence: 43%

“…Surgery is the definitive primary treatment option in most of the cases of tympanomastoid paraganglioma. 5,7,8,9 In the present study we report our experience of surgical treatment of 10 cases of tympanomastoid paraganglioma from Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. To the best of our knowledge this may be the first reported large series of paraganglioma from a single center in Bangladesh.…”

Section: Introductionmentioning

confidence: 94%

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Surgical management of Tympanomastoid Paraganglioma: Experience in BSMMU, Dhaka

Saha

Joarder

Rao

et al. 2020

Bangladesh J of Otorhinolaryngology

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Objective: To characterize the clinical presentation, surgical management, and outcomes of a consecutive cases of patients with tympanomastoid paraganglioma (TMP) tumors managed at a single tertiary referral center with 5 years’ experience. Study Design: Retrospective review. Setting: Bangabandhu Sheikh Mujib Medical University, a tertiary referral center in Bangaldesh. Methods: Between November 2014 and May 2019, 10 patients with histologically confirmed TMP tumor underwent surgical treatment. Tumor stage was described using the Sanna modified Fisch and Mattox’s classification system. Results: Distribution of tumors according to modified Fisch and Mattox classification was as follows: type A2 1 case (10%); B1 2 cases (20%), B2 6 cases (60%) and B3 1 case (10%). Class A2 tumour was safely removed via postauricular-transcanal approach. Two patients with Class B1 tumors were operated on through canal wall up mastoidectomy approach. Six patients including five Class B2 and one Class B3 tumors were managed by canal wall down mastoidectomy approach. One Class B2 underwent a subtotal petrosectomy with blind sac closure of the external auditory canal and middle ear obliteration. Gross total tumor removal was achieved in 9 cases (90%). One patient developed facial weakness (HB grade III) after one week of postoperative period which recovered completely by conservative treatment. No recurrence was noted in follow-up period. Conclusion: Early diagnosis of tympanomastoid paragangliomas are very rare because of its benign and slow-growing nature. Clinical differentiation between tympanojugular and tympanomastoid paragangliomas are difficult. Surgery is the recommended primary modality of treatment for tympanomastoid paragangliomas with minimum morbidity and recurrence rate. Bangladesh J Otorhinolaryngol; October 2019; 25(2): 66-75

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“…One of the largest reviews by Patnaik et al stratified hearing-related outcomes based on tumor stage (Fisch and Mattox) as well as surgical technique. 5 The results were somewhat expected, as postoperative hearing outcomes worsened as the class increased. While patients with class A lesions demonstrated improvements in air conduction levels, those with Class B lesions did not improve.…”

Section: Surgerymentioning

confidence: 86%

Temporal Bone Paraganglioma: Hearing Outcomes and Rehabilitation

Walker

Babu

2019

J Neurol Surg B

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Despite numerous advancements in the treatment of skull base tumors, the management of jugular paragangliomas remains controversial and nuanced. Contemporary treatment objectives focus not only on achieving durable tumor control but also on maximizing post-treatment quality of life. While this philosophy places appropriate attention on limiting cranial neuropathies, less discussed morbidities such as hearing loss can have a profound impact on quality of life outcomes. The objective of this retrospective review is to provide a comprehensive review of hearing outcomes following the treatment of tympanojugular paragangliomas. A particular focus is placed on the variable audiologic outcomes as it relates to disease pathology, extent of disease, as well as chosen treatment modality. This review underscores the importance of considering treatment-related effects on hearing.

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Long term surgical and hearing outcomes in the management of tympanomastoid paragangliomas

Cited by 18 publications

References 19 publications

Transcanal Endoscopic excision of tympanic paraganglioma, a report of our surgical technique

Transcanal Endoscopic excision of tympanic paraganglioma, a report of our surgical technique

Surgical management of Tympanomastoid Paraganglioma: Experience in BSMMU, Dhaka

Temporal Bone Paraganglioma: Hearing Outcomes and Rehabilitation

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