IN THE SURGICAL experience of some 15 glomus jugulare tumors, there have been five which have been referred sufficiently early to permit microscopically accurate complete removal with the reconstruction of a functioning middle ear and normal hearing. The purpose of this article is to condemn biopsies and procrastination and to encourage and facilitate the early complete removal of glomus tumors by changing Shambaugh's1 endaural hypotympanotomy technique to a postauricular hypotympanoplasty. In this postauricular hypotympanotomy, the canal skin is temporarily removed to perform a wide-open hypotympanotomy. The vertical facial nerve is identified to permit careful dissection from the jugular bulb. After removal of the tumor, the drum is returned to its normal position and the hypotympanum sealed with internal temporal fascia and external canal skin.
Many glomus jugulare tumors have been "followed conservatively" for so many months or years that they cannot be completely and accurately removed, even with extensive temporal
Farrior JB. Glomus Tumors: Postauricular Hypotympanotomy and Hypotympanoplasty. Arch Otolaryngol. 1967;86(4):367–373. doi:10.1001/archotol.1967.00760050369003
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