Iranian Journal of Otorhinolaryngology، جلد ۳۴، شماره ۶، صفحات ۳۲۷-۳۳۱

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عنوان انگلیسی A Case Report of Glomus Tympanicum Complicated With Facial Nerve Palsy
چکیده انگلیسی مقاله Introduction:Generally, glomus tumors are considered tumors of the autonomic system arising from chromaffin cells of the parasympathetic paraganglia of the skull base and neck. Glomus tympanicum is the most common primary tumor of the middle ear cavity and it arises from the paraganglia of the middle ear.Case Report: We present a case of glomus tympanicum presented in a 70-year-old woman, complicated with facial nerve palsy which at first sight was misdiagnosed as cholesteatoma. Patient presented in our clinic because of otorrhea, pulsatile tinnitus and hearing loss in the right ear. However, facial nerve function was good in the first examination (40 days before the surgery). Eventually, she treated successfully with a canal wall down mastoidectomy. Technique had been chosen because of the mass size and the involvement of external auditory canal, after a discussion with the patient.Conclusions:Although histologically benign, glomus tympanicum is slow growing and destructs adjacent tissues potentially. The two most common complaints are hearing loss (conductive) and pulsatile tinnitus. These neoplasms are more common in women and they can be diagnosed by CT or MRI scan. It is of high importance physicians suspect a glomus tumor when patient ‘s clinical findings are hearing loss and pulsatile tinnitus and use an intravascular agent in imaging so that the differential diagnosis will be supported.
کلیدواژه‌های انگلیسی مقاله Facial nerve paralysis, Glomus tympanicum, paraganglioma

نویسندگان مقاله | Christodoulos Dimakis
Department of Otorhinolaryngology-Head and Neck Surgery, "General Hospital Asklipιeio Voula", Athens, Greece


| Despoina Beka
Department of Otorhinolaryngology-Head and Neck Surgery, "General Hospital Asklipιeio Voula", Athens, Greece


| Eustratios Papageorgiou
Department of Otorhinolaryngology-Head and Neck Surgery, "General Hospital Asklipιeio Voula", Athens, Greece


| Nikolaos Tsetsos
Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece


| Alexandros Poutoglidis
Department of Otorhinolaryngology-Head and Neck Surgery, "G. Papanikolaou" General Hospital, Thessaloniki, Greece


| Athanasia Gortsali
Department of Otorhinolaryngology-Head and Neck Surgery, "General Hospital Asklipιeio Voula", Athens, Greece


| Alexandros Nomikos
Department of pathology, "General Hospital Asklipιeio Voula", Athens, Greece


| Georgios Karatzias
Department of Otorhinolaryngology-Head and Neck Surgery, "General Hospital Asklipιeio Voula", Athens, Greece



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نوع مقاله منتشر شده Case Report
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