title: Surgical management of large glomus jugulare tumours: infra- and trans-temporal approach.
abstract: Surgery may have to be considered in the management of large glomus tumours since other modalities of treatment are not curative. The judicious use of surgical intervention is imperative since a neurological deficit involving the last four cranial nerves may ensue and consideration of the quality of life of the patient in the post-operative period is of paramount importance. A brief description of the historical aspects and pathology of these tumours is followed by an analysis of the clinical presentation, investigation and assessment of a series of 10 patients. Six patients underwent surgery and their tumours were removed by the infra- and trans-temporal approach. This is described and illustrated in detail and the surgical results presented.
authors.affiliation: Department of Otolaryngology, Addenbrooke's Hospital, Cambridge.
authors.forename: D A
authors.initials: DA
authors.lastname: Moffat
authors.forename: D G
authors.initials: DG
authors.lastname: Hardy
mesh_terms: D000328:Adult; D000368:Aged; D002339:Carotid Arteries / Q000000981:diagnostic imaging; D005260:Female; D005925:Glomus Jugulare Tumor / Q000145:classification / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010236:Paraganglioma, Extra-Adrenal / Q000601:surgery*; D011859:Radiography; D014432:Tympanic Membrane / Q000473:pathology