title: Contemporary management of jugular paragangliomas.
abstract: Jugular paragangliomas are generally benign slow-growing tumors that can cause pulsatile tinnitus, hearing loss, and cranial nerves neuropathy. Progressive growth can also lead to intracranial extension. Historically, the treatment of choice for these lesions has been gross total resection. However, over the last 15 years, many groups have adopted less invasive management strategies including stereotactic radiation therapy, subtotal resection, and primary observation in order to reduce treatment-associated morbidity. The focus of this article is to review the modern management of jugular paraganglioma, highlighting the evolving treatment paradigm at the Otology Group of Vanderbilt.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, 7209 Medical Center East, South Tower, 1215 21st Avenue South, Nashville, TN 37232, USA. Electronic address: george.wanna@vanderbilt.edu.
authors.forename: George B
authors.initials: GB
authors.lastname: Wanna
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, 7209 Medical Center East, South Tower, 1215 21st Avenue South, Nashville, TN 37232, USA.
authors.forename: Alex D
authors.initials: AD
authors.lastname: Sweeney
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University, 7209 Medical Center East, South Tower, 1215 21st Avenue South, Nashville, TN 37232, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Haynes
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic School of Medicine, 200 1st Street Southwest, Rochester, MN 55905, USA.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Carlson
mesh_terms: D003389:Cranial Nerve Diseases / Q000150:complications*; D019468:Disease Management; D005820:Genetic Testing; D005925:Glomus Jugulare Tumor / Q000145:classification / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008866:Microsurgery; D016634:Radiosurgery; D014057:Tomography, X-Ray Computed
keywords: Carotid artery; Cranial nerves; Glomus tumor; Jugular foramen; Jugular paraganglioma