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KMID : 0390219990100020291
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Journal of Clinical Otolaryngology, Head and Neck Surgery
1999 Volume.10 No. 2 p.291 ~ p.296
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A Case of Glomus Jugulare Tumor Treated by Preoperative Arterial Embolization and Infratemporal Fossa Approach
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태경/Kyung Tae
이승환/박철원/이응준/백광흠/장세진/Seung Hwan Lee/Chul Won Park/Eung Jun Lee/Koang Hum Back/Se Jin Jang
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Abstract
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Glomus jugulare tumor is slow growing, hypervascular neoplasm. Although glomus
jugulare tumor is benign, it invades temporal bone, skull base, and lower cranial nerves
and may extend further either intracranially or extracranially. Glomus jugulare tumor is
difficult tumor to resect by virtue of its location, locally infiltrative behavior, and
vascular nature. Surgical removal is especially complicated when cranial extension
encountered. Treatment methods for glomus tumors have developed rapidly over the past
two decades. Preoperative arterial embolization results in decrease in tumor size and
significantly decreases blood loss. Surgically, advanced tumor is best managed by
inflatemporal fossa approach. We report a case of glomus jugular tumor in a 32-year
old male who had had facial palsy, deafiness, and other multiple lower cranial nerve
palsies. The tumor was treated by preoperative embolization and infratemporal fossa
approach. The patient hat CSF leakage and it was managed by dural repair. Facial
nerve and other to lower cranial nerve palsies have not been improved until now.
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KEYWORD
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