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NdYAG laser treatment of a glomus tympanicum tumour

Published online by Cambridge University Press:  29 June 2007

Philip J. Robinson*
Affiliation:
The Ferens Institute of Otolaryngology, University College and the Middlesex Hospital, London.
Henry R. Grant
Affiliation:
The Ferens Institute of Otolaryngology, University College and the Middlesex Hospital, London.
Stephen G. Bown
Affiliation:
The National Medical Laser Centre, University College Hospital, London.
*
Philip J. Robinson, F.R.C.S., 21 Chatsworth Road, Chiswick, London W4 3HY.

Abstract

Glomus tympanicum tumours are highly vascular tumours of the middle ear. Their removal by conventional surgical methods requires an extensive procedure in many cases, often with ossicular disarticulation to allow adequate exposure prior to the ‘chaotic’ and haemorrhagic event of tumour removal. This paper reports on the use of an NdYAG laser in a case of a large glomus tympanicum tumour. The laser facilitated a transcanal approach, avoided ossicular disarticulation and allowed accurate and almost bloodless ablation of the entire tumour.

The NdYAG laser appears to be a very useful treatment modality in the management of these highly vascular tumours. Care should be taken to avoid accidental energy transmission to the cochlea.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

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