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Post-Embolization Excision of Glomus Tympanicum: A Case Report
Glomus tympanicum is a slow-growing benign tumor that can be locally destructive, spreading along the path of least resistance. Conventionally seen as soft tissue mass in the middle ear, it is difficult to distinguish glomus tympanicum from other soft tissue masses of the tympanic cavity, especially...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856636/ https://www.ncbi.nlm.nih.gov/pubmed/35198319 http://dx.doi.org/10.7759/cureus.21414 |
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author | Ghate, Girija Bhatnagar, Aastha Mukhtar, Sabreena |
author_facet | Ghate, Girija Bhatnagar, Aastha Mukhtar, Sabreena |
author_sort | Ghate, Girija |
collection | PubMed |
description | Glomus tympanicum is a slow-growing benign tumor that can be locally destructive, spreading along the path of least resistance. Conventionally seen as soft tissue mass in the middle ear, it is difficult to distinguish glomus tympanicum from other soft tissue masses of the tympanic cavity, especially as it hides behind an intact tympanic membrane. The primary diagnostic modalities are CT scan and MRI for evaluation of the exact anatomical extent and size of the glomus tumors. Embolization following an angiographic study helps to identify the feeding arteries with subsequent blocking of the same, thus helping in the reduction of intraoperative hemorrhage. The currently available modalities of treatment are mainly surgery and radiotherapy. Here, we report a case of a 40-year-old female who presented with unilateral deafness and tinnitus, with no co-morbidities. She showed a red bulging mass behind an intact tympanic membrane on otoscopy and otomicroscopy with mild conductive hearing loss. MRI showed an intensely enhancing lesion in the mesotympanum and hypotympanum along the cochlear promontory. A diagnosis of glomus tympanicum was made based on clinical, audiological, and radiological findings. Pre-operative embolization was carried out 48 hours before the surgery. Complete resection of the tumor was achieved by microsurgery. |
format | Online Article Text |
id | pubmed-8856636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-88566362022-02-22 Post-Embolization Excision of Glomus Tympanicum: A Case Report Ghate, Girija Bhatnagar, Aastha Mukhtar, Sabreena Cureus Otolaryngology Glomus tympanicum is a slow-growing benign tumor that can be locally destructive, spreading along the path of least resistance. Conventionally seen as soft tissue mass in the middle ear, it is difficult to distinguish glomus tympanicum from other soft tissue masses of the tympanic cavity, especially as it hides behind an intact tympanic membrane. The primary diagnostic modalities are CT scan and MRI for evaluation of the exact anatomical extent and size of the glomus tumors. Embolization following an angiographic study helps to identify the feeding arteries with subsequent blocking of the same, thus helping in the reduction of intraoperative hemorrhage. The currently available modalities of treatment are mainly surgery and radiotherapy. Here, we report a case of a 40-year-old female who presented with unilateral deafness and tinnitus, with no co-morbidities. She showed a red bulging mass behind an intact tympanic membrane on otoscopy and otomicroscopy with mild conductive hearing loss. MRI showed an intensely enhancing lesion in the mesotympanum and hypotympanum along the cochlear promontory. A diagnosis of glomus tympanicum was made based on clinical, audiological, and radiological findings. Pre-operative embolization was carried out 48 hours before the surgery. Complete resection of the tumor was achieved by microsurgery. Cureus 2022-01-19 /pmc/articles/PMC8856636/ /pubmed/35198319 http://dx.doi.org/10.7759/cureus.21414 Text en Copyright © 2022, Ghate 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 Ghate, Girija Bhatnagar, Aastha Mukhtar, Sabreena Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title | Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title_full | Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title_fullStr | Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title_full_unstemmed | Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title_short | Post-Embolization Excision of Glomus Tympanicum: A Case Report |
title_sort | post-embolization excision of glomus tympanicum: a case report |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856636/ https://www.ncbi.nlm.nih.gov/pubmed/35198319 http://dx.doi.org/10.7759/cureus.21414 |
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