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KTP laser assisted excision of glomus tympanicum

Published online by Cambridge University Press:  29 June 2007

N. C. Molony ,
M. Salto-Tellez  and
W. E. Grant
N. C. Molony*
Affiliation:
Department of Otolaryngology, Royal Infirmary, University of Edinburgh Medical School, Edinburgh, UK.
M. Salto-Tellez
Affiliation:
Department of Pathology, University of Edinburgh Medical School, Edinburgh, UK.
W. E. Grant
Affiliation:
Department of Otolaryngology, Royal Infirmary, University of Edinburgh Medical School, Edinburgh, UK.
*
Address for correspondence: Dr N. C. Molony, Department of Otolaryngology, Lauriston Building, Royal Infirmary, Edinburgh EH3 9EN.
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Abstract

A 39-year-old female with a two-year history of mild hearing loss and discomfort on air flight descent was found to have a pulsatile mass behind an intact tympanic membrane. A suspected diagnosis of glomus tympanicum was confirmed by computed tomography (CT) scan imaging. The lesion filled the mesotympanum and hypotympanum but the jugular bony plate was intact, confirming the tympanic site of the lesion. This very vascular tumour was exposed by a tympanomeatal flap and the KTP laser used to shrink and coagulate the tumour progressively with minimal haemorrhage and blood loss. Complete excision of the lesion was achieved without the need for bony removal, and with minimal blood loss. The use of the KTP laser to coagulate this vascular lesion allowed safe removal of the tumour and avoided the need for extended facial recess or hypotympanotomy surgery.

Keywords

Glomus tyinpanicum tumourLaser surgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 10 , October 1998 , pp. 956 - 958
Copyright
Copyright © JLO (1984) Limited 1998

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References

Glasscock, M. E., Shambaugh, G. E. (1990) In Surgery of the Ear and Temporal Bone. W. B. Saunders, Philadelphia, pp 522–525.Google Scholar
Guild, S. R. (1941) A hitherto unrecognised structure: The glomus jugularis in man. Anatomical Record 79 (Suppl 2): 28.Google Scholar
Guild, S. R. (1953) Glomus jugulare in man. Annals of Otology Rhinology and Laryngology 62: 1045–1048.CrossRefGoogle ScholarPubMed
Jackson, C. G., Welling, D. B., Chironis, P., Glasscock, M. E., Woods, C. I. (1989) Glomus tympanicum tumours: Contemporary concepts in conservation surgery. Laryngoscope 99: 875–884.Google Scholar
Konefal, J. B., Pilepich, M. V., Spector, G. J. (1987) Radiation therapy in the treatment of chemodectomas. Laryngoscope 97: 1331–1335.CrossRefGoogle ScholarPubMed
Reddy, E. K., Mansfield, C. M., Hartmann, G. V. (1983) Chemodectoma of the glomus jugulare. Cancer 52: 337–340.3.0.CO;2-2>CrossRefGoogle ScholarPubMed
Robinson, P. J., Grant, H. R., Bowen, S. G. (1993) NdYAG laser treatment of a glomus tympanicum tumour. Journal of Laryngology and Otology 107: 236–237.CrossRefGoogle ScholarPubMed
Rosenwasser, H. (1945) Carotid body tumour of the middle ear and mastoid. Archives of Otolaryngology 41: 64–67.CrossRefGoogle Scholar
Shambaugh, G. E. (1955) Surgical approach for so-called glomus jugulare tumours of the middle ear. Laryngoscope 65: 185–190.CrossRefGoogle ScholarPubMed