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December 1988

Glomus Vagal Tumors

Arch Otolaryngol Head Neck Surg. 1988;114(12):1363. doi:10.1001/archotol.1988.01860240013002

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Drs Hugh F. Biller and William Lawson, Mount Sinai Medical Center, New York, reported their experience with 18 cases of glomus vagal tumors at the April 1988 meeting of the American Laryngological Association in Palm Beach, Fla. Their report showed the female-to-male ratio to be 2:1. The patients (40%) had multiple paragangliomas. Computed tomographic and magnetic resonance imaging scans were the most helpful tests for diagnosis, with arteriography used to help identify the multicentric cases as well as carotid artery encroachment. Adequate surgical exposure was necessary to avoid carotid artery injury.

The authors found vagal nerve paralysis in 100% of the cases postoperatively, which resulted in dysphagia and aspiration in some of the cases. These cases were managed with cricopharyngeal myotomy and polytef (Teflon) injection. Additionally, some of the patients had weakness or paralysis of the hypoglossal and spinal accessory nerve. There were four patients who had clinical evidence of

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