Tympanic Paraganglioma

[...]even with such a classic presentation of a glomus tympanicum, an aberrant carotid artery, highriding jugular bulb, and glomus jugulare must also be considered.2 The best diagnostic tool to investigate pulsatile tinnitus with a visible retroor intratympanic mass is a high-resolution CT scan of t...

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Veröffentlicht in:Ear, nose, & throat journal nose, & throat journal, 2014-04, Vol.93 (4-5), p.136-138
Hauptverfasser: Blake, Danielle M., Tomovic, Senja, Jyung, Robert W.
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container_end_page 138
container_issue 4-5
container_start_page 136
container_title Ear, nose, & throat journal
container_volume 93
creator Blake, Danielle M.
Tomovic, Senja
Jyung, Robert W.
description [...]even with such a classic presentation of a glomus tympanicum, an aberrant carotid artery, highriding jugular bulb, and glomus jugulare must also be considered.2 The best diagnostic tool to investigate pulsatile tinnitus with a visible retroor intratympanic mass is a high-resolution CT scan of the temporal bones, since it can precisely define the location and extent of the tumor.2 Treatment options include observation, radiation therapy, or surgical excision with or without preoperative angioembolization. Since chronically hypoxic patients often develop paragangliomas arising from the carotid body, a critical site of oxygen sensing, activation of hypoxia-inducible pathways appears to be essential to the pathogenesis of these tumors and may greatly contribute to their hypervascularity. [...]when evaluating patients with paragangliomas, it is important to take a careful history and document all risk factors for chronic hypoxia, including living at a high altitude, chronic obstructive pulmonary disease, and sleep apnea.
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Since chronically hypoxic patients often develop paragangliomas arising from the carotid body, a critical site of oxygen sensing, activation of hypoxia-inducible pathways appears to be essential to the pathogenesis of these tumors and may greatly contribute to their hypervascularity. 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ispartof Ear, nose, & throat journal, 2014-04, Vol.93 (4-5), p.136-138
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source Sage Journals GOLD Open Access 2024
subjects Ear diseases
Ear Neoplasms - complications
Ear Neoplasms - diagnosis
Ear Neoplasms - surgery
Ears & hearing
Female
Hearing loss
Hearing Loss, Mixed Conductive-Sensorineural - etiology
Humans
Hypoxia
Middle Aged
Mutation
Otoscopy
Paraganglioma - complications
Paraganglioma - diagnosis
Paraganglioma - surgery
Patients
Radiation therapy
Sleep
Sleep apnea
Tinnitus - etiology
Tomography, X-Ray Computed
Tympanic Membrane - diagnostic imaging
Tympanic Membrane - pathology
Tympanic Membrane - surgery
title Tympanic Paraganglioma
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