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Staged Resection for Large Glomus Tumors With Intracranial Extension
JOSEPH B. NADOL, JR, MD
Boston
Arch Otolaryngol Head Neck Surg. 1987;113(7):701.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Avrim Eden, MD, William Lawson, MD, and Hugh Biller, MD, of Mt Sinai Medical Center, New York, speaking at the Eastern Section of the Triological Society, recommended staging the resection of large glomus tumors with posterior fossa extension, first performing suboccipital craniectomy and removing as much of the tumor as possible, and then closing the defect with a fascial graft. At an interval of three or more weeks, the temporal bone and cervical portions of the tumor are resected. The proposed advantages are (1) avoidance of subsequent surgery on those in whom intracranial extension proves to be nonresectable; (2) identification of resultant cranial nerve defects before the otolaryngologic phase of surgery, allowing the addition of rehabilitative measures such as cricopharyngeal myotomy with the second procedure; and (3) a decreased incidence of spinal fluid leakage and subsequent meningitis.
The staging of removal of large tumors of the temporal bone and posterior
. . . [Full Text PDF of this Article]
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