Summary
A 35 year-old Japanese female complained of a right-sided pulsation tinnitis, hearing disturbance, and facial weakness. Extensive radiographic studies including angiograms and retrograde juglar venography provided a diagnosis and localization of a tumor. Radical mastoidectomy was performed and a red grape-like glomus juglare tumor along the facial nerve was extirpated as there was a profuse hemorrhage from the tumor mass.
Cryosurgery was then performed. Complete surgical removal is possible when the tumor is small, however, when the tumor involves the middle ear and mastoid area, complete extirpation cannot always be done. Radical mastoidectomy plus cryosurgery appears to be the most feasible management in the surgical treatment of glomus juglare tumor.
Similar content being viewed by others
References
Capps, F. C. W.: Chemodectoma tumor of the glomus juglare and tympanic bodies. Arch. Otolaryngol. 67, 556–559 (1958)
Friedmann, I.: Pathology of the ear. London: Blackwell 1972
Guild, S. R.: A hitherto unrecognized structure the glomus juglaris in man. Anat. Rec. (Suppl. 2) 79, 28 (1941)
House, W. F., Glasscock, M. E.: Glomus tympanicum tumors. Arch. Otolaryngol. 87, 550–554 (1968)
Kirikae, I., Toriyama, Y.: Paraganglioma of the ear invading a great part of the temporal bone. Jap. J. Otol. (Tokyo) 59, 1–19 (1956)
Lewis, J. S., Cahan, W. G.: Cryosurgical management of glomus juglare tumors. Laryngoscope 77, 912–917 (1967)
Meda, P.: Tumors of the temporal bone. Arch. Otolaryngol. 70, 471–479 (1959)
Glasscock, M. E., Harris, P. F., Newsome, G.: Glomus tumor: Diagnosis and treatment. Laryngoscope 84, 2006–2032 (1974)
Rosenwasser, H.: Carotid body tumor of the middle ear and mastoid. Arch. Otolaryngol. 41, 64–67 (1945)
Shambough, G. E.: Surgery of the ear. Philadelphia: Saunders 1959
Simpson, I. C., Dallachy, R.: A review of the tumors of the glomus juglare with reports of three further cases. J. Laryngol. Otol. 72, 194–226 (1958)
Spector, G. J., Maisel, R. H., Ogura, J. H.: Glomus tumor in the middle ear. An analysis of 46 patients. Laryngoscope 88, 1652–1672 (1973)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Izumikawa, F., Yanagihara, N. & Matsuoka, I. Cryosurgical treatment of glomus juglare tumor. Arch Otorhinolaryngol 221, 143–147 (1978). https://doi.org/10.1007/BF00455885
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00455885