PMID- 8817021
OWN - NLM
STAT- MEDLINE
DCOM- 19961204
LR  - 20061115
IS  - 0192-9763 (Print)
IS  - 0192-9763 (Linking)
VI  - 17
IP  - 3
DP  - 1996 May
TI  - Hearing conservation in surgery for glomus jugulare tumors.
PG  - 425-37
AB  - The most common ground on which surgery for glomus jugulare (GJ) tumors is 
      criticized is the perceived risk of functional incapacity that attends possible 
      cranial nerve (CN) loss. It is aggregate lower CN loss that is most often 
      highlighted as particularly disabling to the quality of postsurgical survival. 
      The documented success of both conservation surgery and operative rehabilitation 
      of phonopharyngeal surgical deficits has, however, neutralized much of this 
      criticism. The issue of hearing conservation (HC) in neurotologic skull base 
      surgery, on the other hand, has not been well documented toward this end. The 
      presence of a GJ neoplasm need not reflexly nor technically forfeit preexisting 
      hearing. HC is, admittedly, a subordinate priority to total tumor removal, 
      successful distal control of the internal carotid artery, and even facial nerve 
      integrity. Yet, in appropriately selected patients, existing operative technology 
      permits hearing preservation, a noteworthy addition to the high-grade functional 
      outcome we have come to reasonably expect of conservation surgery. Hearing 
      salvage further serves to define the concept of neurotologic skull base surgery. 
      Hearing preservation in 122 GJ tumor patients is reviewed. Intuitively, as for 
      acoustic tumor, HC appears tumor size related. Selection criteria for 
      conservation surgery and its operative technique are detailed. Outcome is 
      appropriately scored. The radiation therapy literature on this subject will be 
      assiduously scrutinized for comparison.
FAU - Jackson, C G
AU  - Jackson CG
FAU - Haynes, D S
AU  - Haynes DS
FAU - Walker, P A
AU  - Walker PA
FAU - Glasscock, M E 3rd
AU  - Glasscock ME 3rd
FAU - Storper, I S
AU  - Storper IS
FAU - Josey, A F
AU  - Josey AF
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Am J Otol
JT  - The American journal of otology
JID - 7909513
SB  - IM
EIN - Am J Otol 1996 Nov;17(6):917
MH  - Audiometry, Pure-Tone
MH  - Glomus Jugulare Tumor/*complications/radiotherapy/*surgery
MH  - Hearing Loss, Conductive/diagnosis/*etiology
MH  - Hearing Loss, Sensorineural/diagnosis/*etiology
MH  - Humans
MH  - Neoplasm Staging
MH  - Postoperative Complications
MH  - Radiation Dosage
MH  - Radiotherapy/adverse effects
RF  - 137
EDAT- 1996/05/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1996/05/01 00:00
PHST- 1996/05/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1996/05/01 00:00 [entrez]
PST - ppublish
SO  - Am J Otol. 1996 May;17(3):425-37.