title: [Temporal paragangliomas. A 12-year experience].
abstract: OBJECTIVE
  Our objective was to perform a retrospective analysis of patients with jugulotympanic paragangliomas. We present the results according to the surgical approach applied in each case.
  
  
  METHODS
  This retrospective study presents the findings in 21 patients with jugulotympanic paragangliomas who were observed and treated in our department over a 12-year period (1999 to 2011). We performed a general otolaryngology exam, systemic evaluation and radiological exam. Surgical treatment was performed in 20 cases out of 21. In 1 case, treatment with stereotactic radiosurgery was carried out.
  
  
  RESULTS
  The surgical approaches were: endaural, retroauricular transcanal, radical or modified mastoidectomy through facial recess and infratemporal fossa approach. Preoperative embolization was used in 12 cases. In all cases the diagnosis of paraganglioma was confirmed. The most frequent postoperative complications found were transitory palsy of the facial nerve, sensorineural hearing loss, imbalance, paralysis of the cranial nerves IX and XI and salivary fistula. No recurrences were found after 12 years of follow-up. One case of persistence was found in the case treated with radiosurgery.
  
  
  CONCLUSIONS
  In our series surgery was found to be the elective therapy for patients with paraganglioma, with no recurrences after 12 years of follow-up. Preoperative embolization decreases surgery time and intraoperative bleeding. Stereotactic Radiotherapy cannot eliminate the tumour..
authors.affiliation: Servicio de Otorrinolaringología, Complejo Hospitalario Universitario Insular-Materno Infantil de Las Palmas, Las Palmas de Gran Canaria, España.
authors.forename: Angel
authors.initials: A
authors.lastname: Ramos Macías
authors.forename: Jorge
authors.initials: J
authors.lastname: Bueno Yanes
authors.forename: Pilar
authors.initials: P
authors.lastname: Bolaños Hernández
authors.forename: Isidoro
authors.initials: I
authors.lastname: Lisner Contreras
authors.forename: Angel
authors.initials: A
authors.lastname: Osorio Acosta
authors.forename: Mario
authors.initials: M
authors.lastname: Vicente Barrero
authors.forename: María Luisa
authors.initials: ML
authors.lastname: Zaballos González
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005924:Glomus Jugulare; D043485:Glomus Tympanicum; D006801:Humans; D008297:Male; D008875:Middle Aged; D010235:Paraganglioma / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies; D013701:Temporal Bone; D013997:Time Factors