Abstract TINNITUS is a common otologic complaint. It is difficult to decide which type of tinnitus should be more thoroughly evaluated. Unilateral tinnitus is a symptom that may indicate serious disease such as an acoustic neuroma. When the sound is pulsating, as well as unilateral, one must be suspicious of a glomus tumor. If a mass is seen behind the eardrum of a patient with unilateral pulsating tinnitus, a diagnosis of glomus tumor is almost certain. Biopsy of the mass is not indicated. Further evaluation of the patient, therefore, should be directed toward establishing the size and extent of the tumor so that the appropriate surgical procedure can be planned. The purpose of this paper is to outline the approach to diagnosis and treatment of these tumors in the Otologic Medical Group. Management of Glomus Tumors Glomus tumors of the temporal bone arise from glomus structures situated along Jacobson's nerve or References 1. Guild, S.R.: A Hitherto Unrecognized Structure: The Glomus Jugularis in Mass, abstract , Anat Rec 79 :( (suppl 2) )28, 1941. 2. Rosenwasser, H.: Carotid Body Tumor of the Middle Ear and Mastoid , Arch Otolaryng 41:64, 1945.Crossref 3. Alford, B.R., and Guilford, F.R.: A Comprehensive Study of Tumors of the Glomus Jugulare , Laryngoscope 72:765-787, 1962.Crossref 4. Gejrot, T., and Lindbom, A.: Venography of the Internal Jugular Vein and the Transverse Sinuses (Retrograde Jugularography) , Acta Otolaryng (suppl 158) , pp 180-185, 1960. 5. Gejrot, T., and Lauren, T.: Retrograde Jugularography in Diagnosis of Glomus Tumors in the Jugular Region , Acta Otolaryng 58:191, 1964.Crossref 6. Gejrot, T., and Lauren, T.: Retrograde Venography of the Internal Jugular Veins and Transverse Sinuses , Acta Otolaryng 57:556, 1964.Crossref 7. Gejrot, T.: Retrograde Jugularography in the Diagnosis of Abnormalities of the Superior Bulb of the Internal Jugular Vein , Acta Otolaryng 57:177, 1964.Crossref 8. Gejrot, T.: Jugular Syndrome , Acta Otolaryng 57:450, 1964.Crossref
Archives of Otolaryngology – American Medical Association
Published: May 1, 1968
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