DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20190030

Glomus tympanicum type III- with delayed postoperative facial palsy: our experience

Manjunatha H. Anadappa, Sridurga Janarthanan, Nidhin Suresh Babu

Abstract


Glomus tympanicum is a very rare, benign, locally invasive and slow growing vascular tumor of the middle ear. It is a second most common tumor of the temporal bone and most common benign neoplasm of the middle ear. It originates from the glomus bodies, found over promontory. In this case report, we discuss about a 47 years old female, diagnosed with type III glomus tympanicum, and operated through a transmastoid approach for tumor resection. The patient had a delayed onset of LMN facial palsy post operatively, which recovered completely after conservative management.


Keywords


Glomus tympanicum, Facial nerve, Transmastoid, Temporal bone

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References


Karunagaran A, Niranjana Bharathi VJ, Karthikeyan A. Glomus tympanicum: A radiological dilemma. Indian J Otol. 2017;23:131-3.

Gilbo P, Morris CG, Amdur RJ, Werning JW, Dziegielewski PT, Kirwan J, et al. Radiotherapy for benign head and neck paraganglioma: a 45-year experience. Cancer. 2014;10:1002.

Bono F. Jugulotympanic paraganglioma. Pathologica. 2007;99:81-3.

Subashini P, Mohanty S. Altered clinical course of glomus tympanicum – A case report. Indian J Otolaryngol Head Neck Surg. 2008;60:35‑6.

O’Leary MJ, Shelton C, Giddings NA, Kwartler J, Brackmann DE. Glomus tympanicum tumors: A clinical perspective. Laryngoscope. 1991;101:1038‑43.

Fayad JN, Keles B, Brackmann DE. Jugular foramen tumors: clinical characteristics and treatment outcomes. Otol Neurotol. 2010;31(2):299–305.

House JW. Iatrogenic facial paralysis. Ear Nose Throat J. 1996;75:720–3.

Safdar A, Gendy S, Hilal A, Pwalshe, Burns H. Delayed facial nerve palsy following tympano-mastoid surgery: incidence, aetiology and prognosis. J Laryngol Otol. 2006;120:745–8.