OBJECTIVE: The aim of this study was to report a multicentric surgical experience in the exclusive endoscopic management of glomus tympanicum (GT). STUDY DESIGN: Retrospective case series review at two institutions. SETTING: Tertiary referral centers. PATIENTS: The study included 30 patients who underwent exclusive transcanal excision of GT between 2010 and 2017 at the two referral centers. INTERVENTIONS: Exclusive endoscopic transcanal excision of GT type A1, A2, and B1 (modified Fisch-Mattox classification). All surgical procedures were performed by two senior surgeons (L.P.; M.B.). MAIN OUTCOME MEASURES: For each procedure, intraoperative features of the disease, postoperative complications, and functional outcomes were evaluated. Recurrent or residual diseases were clinically and radiologically assessed during the follow-up period. RESULTS: None of the patients treated with transcanal endoscopic approach (TEA) experienced intraoperative complications, nor required conversion to microscopic approach. Gross total resection (GTR) was obtained in 90% of the cases, while a near total resection was advocated when the residual pathology had a close relationship with the internal carotid artery. Mean hospitalization time was 1.6 (±0.8 SD) days and no postoperative complications were reported. No recurrences were reported in the GTR group after a mean follow-up period of 38.1 (±28.7 SD) months. CONCLUSIONS: Middle ear paragangliomas with no mastoid involvement (Class A1, A2, and B1) can be safely managed by means of a transcanal endoscopic approach. Low rate of postoperative complications, short hospitalization, and high rate of gross total resection demonstrate that TEA is a safe and effective procedure.
Transcanal Endoscopic Management of Glomus Tympanicum: Multicentric Case Series / Fermi, M.; Ferri, G.; Bayoumi Ebaied, T.; Alicandri-Ciufelli, M.; Bonali, M.; Badr El-Dine, M.; Presutti, L.. - In: OTOLOGY & NEUROLOGY. - ISSN 1537-4505. - 42:2(2021), pp. 312-318.
|Data di pubblicazione:||2021|
|Titolo:||Transcanal Endoscopic Management of Glomus Tympanicum: Multicentric Case Series|
|Autore/i:||Fermi, M.; Ferri, G.; Bayoumi Ebaied, T.; Alicandri-Ciufelli, M.; Bonali, M.; Badr El-Dine, M.; Presutti, L.|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1097/MAO.0000000000002929|
|Codice identificativo ISI:||WOS:000612743600041|
|Codice identificativo Scopus:||2-s2.0-85100069849|
|Codice identificativo Pubmed:||33351561|
|Citazione:||Transcanal Endoscopic Management of Glomus Tympanicum: Multicentric Case Series / Fermi, M.; Ferri, G.; Bayoumi Ebaied, T.; Alicandri-Ciufelli, M.; Bonali, M.; Badr El-Dine, M.; Presutti, L.. - In: OTOLOGY & NEUROLOGY. - ISSN 1537-4505. - 42:2(2021), pp. 312-318.|
|Tipologia||Articolo su rivista|
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