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July 1968

Glomus Jugulare Tumors: V. Newer Diagnostic Procedures in Therapy

Arch Otolaryngol. 1968;88(1):27-34. doi:10.1001/archotol.1968.00770010029007

TUMORS which enlarge concentrically and erode the bony floor of the middle ear cavity may invade the cochlea and compress or invade the dome of the jugular bulb. This has been demonstrated graphically by Gejrot and Hamberger1 and others by using retrograde jugularography. Prior to their popularizing retrograde jugularography, it was recognized that there might be only a small tumor in the middle ear cavity and an equal or larger sized tumor invading the bulb area. This possibility always troubled the thoughtful experienced otologist, and therefore, I welcome any measure which may help to present the entire picture before operation. I reiterate that the successful management of these tumors depends on early recognition of the tumors before widespread destruction takes place.

Gejrot and Lauren,2 in a recent discussion of the surgical treatment of glomus jugulare tumors, stated that it was essential to perform retrograde jugularography preoperatively contending that