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J Neurol Surg B Skull Base 2017; 78(01): 096-098
DOI: 10.1055/s-0036-1585090
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Utility of an Ultrasonic Aspirator in Transcanal Endoscopic Resection of Temporal Bone Paraganglioma

Brendan P. O'Connell
1   Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Jacob B. Hunter
1   Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
Matthew L. Carlson
2   Department of Otolaryngology - Head and Neck Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota, United States
,
Brandon Isaacson
3   Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States
,
Alejandro Rivas
1   Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
,
George B. Wanna
1   Department of Otolaryngology - Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
4   Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States
› Author Affiliations
Further Information

Publication History

18 May 2016

27 May 2016

Publication Date:
26 July 2016 (online)

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Abstract

The objective of this study was to evaluate the role of removing middle ear paragangliomas using an ultrasonic aspirator (UA) through a transcanal, exclusively endoscopic approach. Three consecutive patients undergoing transcanal endoscopic resection of middle ear paragangliomas using an UA were retrospectively studied. The primary outcome measure was achieving gross total tumor resection. Secondary outcomes included postoperative hearing and early convalescence. Two glomus tympanicum tumors and one small glomus jugulare were included, and complete tumor resection was achieved endoscopically in all cases. All patients demonstrated intact tympanic membranes and normal facial nerve function at the initial postoperative visit. There were no cases of bone-conduction pure tone threshold increases of more than 15 dB. The UA was helpful when performing exclusively endoscopic transcanal resection of middle ear paraganglioma given its simultaneous suction-aspiration capability.

Keywords

glomus tympanicum - paraganglioma - Sonopet - ultrasonic aspirator - endoscopic

Note

Vanderbilt IRB Approval #160546.


 

  • References

  • 1 Carlson ML, Sweeney AD, Pelosi S, Wanna GB, Glasscock III ME, Haynes DS. Glomus tympanicum: a review of 115 cases over 4 decades. Otolaryngol Head Neck Surg 2015; 152 (1) 136-142
    CrossrefPubMedGoogle Scholar
  • 2 Sweeney AD, Carlson ML, Wanna GB, Bennett ML. Glomus tympanicum tumors. Otolaryngol Clin North Am 2015; 48 (2) 293-304
    CrossrefPubMedGoogle Scholar
  • 3 Marchioni D, Alicandri-Ciufelli M, Gioacchini FM, Bonali M, Presutti L. Transcanal endoscopic treatment of benign middle ear neoplasms. Eur Arch Otorhinolaryngol 2013; 270 (12) 2997-3004
    CrossrefPubMedGoogle Scholar
  • 4 Tarabichi M, Nogueira JF, Marchioni D, Presutti L, Pothier DD, Ayache S. Transcanal endoscopic management of cholesteatoma. Otolaryngol Clin North Am 2013; 46 (2) 107-130
    CrossrefPubMedGoogle Scholar