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- Title
Odległa analiza kliniczna chorych operowanych z powodu przyzwojaków niechromochłonnych.
- Authors
Markowski, Jarosław; Dziubdziela, Włodzimierz; Gierek, Tatiana; Budziński, Grzegorz; Pająk, Jacek; Klimczak-Gołąb, Lucyna; Pasternak, Katarzyna; Witkowska, Małgorzata; Mazurek, Klaudia; Wardas, Piotr
- Abstract
Introduction. Nonchromaffin paragangliomas (chemodectomas) are rare tumors of the nervous system. They are formed from receptive cells of the parasympathetic autonomic system that create groups of nonchromaffin paragangliomatic bodies. The term 'chemodectoma' is related to the chemoreceptive abilities of the neoplastic cells. In the head and neck region they are usually situated in glomus caroticum, glomus tympanicum, glomus vagale and glomus jugulare. Aim. The aim of study was a long-term clinical analysis of three paragangliomatic patients treated by surgery. Materials and methods. The authors present a retrospective study of three glomus tumours: two situated in glomus caroticum and one in glomus tympanicum. Results. Imaging techniques, such as computed tomography, magnetic resonance and arteriography were found to be vital for successful preoperative diagnostics. In both patients with glomus caroticum tumour, a paralysis of the vocal folds was observed on the operated side after 13 and 6 years since the surgical treatment. There were no differences in hearing ability in the patient with glomus tympanicum tumor after 10 years since the surgery. Conclusions. The prognosis for benign glomus tumours is good, while considerable experience is required in their surgical treatment due to the risk of profuse intraoperative heamorrhage. The paralysis of the vocal fold after glomus caroticum surgery is irreversible.
- Publication
Otorynolaryngologia, 2012, Vol 11, Issue 2, p71
- ISSN
1643-658X
- Publication type
Article