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Combined underwater endoscopic and microscopic surgery for tympanic paraganglioma: A case report.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: SAGE Publications Country of Publication: England NLM ID: 0411361 Publication Model: Print Cited Medium: Internet ISSN: 2047-7163 (Electronic) Linking ISSN: 00368504 NLM ISO Abbreviation: Sci Prog Subsets: MEDLINE
    • بيانات النشر:
      Publication: <2019-> : [London] : SAGE Publications
      Original Publication: Oxford, Blackwell Scientific Publications [etc.]
    • الموضوع:
      Ear Neoplasms*/surgery ; Ear Neoplasms*/pathology ; Ear, Middle*/surgery ; Ear, Middle*/pathology ; Endoscopy*/methods ; Paraganglioma*/surgery ; Paraganglioma*/pathology ; Paraganglioma*/diagnostic imaging; Humans ; Middle Aged ; Microsurgery/methods
    • نبذة مختصرة :
      The resection of middle ear paragangliomas can be challenging given their vascular nature and the small volume of the tympanic cavity, particularly when the tumor in the hypotympanum is close or attached to the internal carotid artery (ICA). We performed combined underwater endoscopic and microscopic surgery for a Class B1 middle ear paraganglioma according to the modified Fisch classification. The suspicious bone in the hypotympanum and around the petrous ICA was drilled with underwater endoscopy. The feeding arteries, the caroticotympanic and inferior tympanic arteries, were suctioned and cauterized under microscopy. To the best of our knowledge, no case of middle ear paraganglioma treated with underwater endoscopy has been reported. Underwater endoscopy, providing a clear operative field with blood and bone dust irrigation, is a good indication for middle ear paragangliomas. In contrast, microscopic preparation for unexpected bleeding is important, particularly when the tumor closely extends to vital structures, such as the ICA or the jugular bulb.
      Competing Interests: Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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    • Contributed Indexing:
      Keywords: Paraganglioma; caroticotympanic artery; case report; endoscopic ear surgery; internal carotid artery
    • الموضوع:
      Date Created: 20240723 Date Completed: 20240723 Latest Revision: 20250127
    • الموضوع:
      20250127
    • الرقم المعرف:
      PMC11271120
    • الرقم المعرف:
      10.1177/00368504241263524
    • الرقم المعرف:
      39043202