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Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve

Paragangliomas are mostly benign, slow-growing, hypervascular tumors originating from neural crest derivatives. Head and neck (H&N) paragangliomas represent <1% of all H&N tumors and <5% are malignant. They are mostly non-secreting tumors that originate from autonomous parasympathetic...

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Autores principales: Marini, Katerina, Florou, Vasiliki, Skliris, James Philip, Marangos, Nikolaos, Kamargiannis, Nikolaos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10428081/
https://www.ncbi.nlm.nih.gov/pubmed/37593266
http://dx.doi.org/10.7759/cureus.41997
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author Marini, Katerina
Florou, Vasiliki
Skliris, James Philip
Marangos, Nikolaos
Kamargiannis, Nikolaos
author_facet Marini, Katerina
Florou, Vasiliki
Skliris, James Philip
Marangos, Nikolaos
Kamargiannis, Nikolaos
author_sort Marini, Katerina
collection PubMed
description Paragangliomas are mostly benign, slow-growing, hypervascular tumors originating from neural crest derivatives. Head and neck (H&N) paragangliomas represent <1% of all H&N tumors and <5% are malignant. They are mostly non-secreting tumors that originate from autonomous parasympathetic paraganglia. We present a case of right middle ear jugulotympanic paraganglioma, a subtype of H&N paragangliomas, which had been misdiagnosed as otosclerosis for about 10 years. The patient was suffering from worsening tinnitus along with hearing impairment. High clinical suspicion of jugular paraganglioma prevented us from taking a biopsy. Complete surgical excision after preoperative embolization was decided. Embolization resulted in facial nerve paralysis, however, facial nerve rerouting was performed during the complete surgical excision of the tumor. The patient remains disease-free three years postoperatively, with House-Brackmann III facial nerve paralysis.
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spelling pubmed-104280812023-08-17 Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve Marini, Katerina Florou, Vasiliki Skliris, James Philip Marangos, Nikolaos Kamargiannis, Nikolaos Cureus Otolaryngology Paragangliomas are mostly benign, slow-growing, hypervascular tumors originating from neural crest derivatives. Head and neck (H&N) paragangliomas represent <1% of all H&N tumors and <5% are malignant. They are mostly non-secreting tumors that originate from autonomous parasympathetic paraganglia. We present a case of right middle ear jugulotympanic paraganglioma, a subtype of H&N paragangliomas, which had been misdiagnosed as otosclerosis for about 10 years. The patient was suffering from worsening tinnitus along with hearing impairment. High clinical suspicion of jugular paraganglioma prevented us from taking a biopsy. Complete surgical excision after preoperative embolization was decided. Embolization resulted in facial nerve paralysis, however, facial nerve rerouting was performed during the complete surgical excision of the tumor. The patient remains disease-free three years postoperatively, with House-Brackmann III facial nerve paralysis. Cureus 2023-07-17 /pmc/articles/PMC10428081/ /pubmed/37593266 http://dx.doi.org/10.7759/cureus.41997 Text en Copyright © 2023, Marini et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Marini, Katerina
Florou, Vasiliki
Skliris, James Philip
Marangos, Nikolaos
Kamargiannis, Nikolaos
Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title_full Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title_fullStr Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title_full_unstemmed Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title_short Jugulotympanic Paraganglioma With Preoperative Embolization That Led to Facial Nerve Paralysis and Surgical Rerouting of the Nerve
title_sort jugulotympanic paraganglioma with preoperative embolization that led to facial nerve paralysis and surgical rerouting of the nerve
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10428081/
https://www.ncbi.nlm.nih.gov/pubmed/37593266
http://dx.doi.org/10.7759/cureus.41997
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