ABSTRACT
The treatment details of 58 patients treated for glomus jugulare tumours in Newcastle upon Tyne are examined in the light of other studies reported in the literature. For the group of 55 patients treated by radiotherapy, the 20 year survival is 94% (determined actuarially). The 20 year disease-free survival (determined actuarially) is 77%. This is comparable with other series reported. As no glomus tympanicum tumour has recurred following surgery and there has been no morbidity due to these tumours they have not been included in the series. It is recommended that patients who are fit and have tumours confined to the tympanum should have primary surgical treatment. All other patients should be treated by accurately planned radiotherapy, using a dose of 50Gy in 5 weeks to the tumour volume. The morbidity of this treatment policy will be low.
Subject(s)
Glomus Jugulare Tumor/radiotherapy , Paraganglioma, Extra-Adrenal/radiotherapy , Radiotherapy, High-Energy , Actuarial Analysis , Female , Glomus Jugulare Tumor/mortality , Glomus Jugulare Tumor/surgery , Humans , Male , Time FactorsABSTRACT
Modern expertise by neurosurgeons has made the suboccipital route the approach of choice in removal of acoustic neuromas. In addition to assisting the neurosurgeon, the role of the otolaryngologist should now be extended to provide re-education of physicians in order to achieve earlier referral and consequent early diagnosis.
Subject(s)
Neuroma, Acoustic/surgery , Accessory Nerve/physiopathology , Ataxia/etiology , Facial Nerve/physiopathology , Glossopharyngeal Nerve/physiopathology , Humans , Methods , Neuroma, Acoustic/physiopathology , Postoperative Complications/etiology , Trigeminal Nerve/physiopathology , Vagus Nerve/physiopathologySubject(s)
Collagen/analysis , Ear, Middle/analysis , Adult , Aged , Animals , Ear Ossicles/analysis , Ear, Middle/pathology , Guinea Pigs , Humans , Middle Aged , Sclerosis , Tympanic Membrane/analysisABSTRACT
The results of ninety-five revision operations for post-stapedectomy conductive deafness are reported and discussed. They show that closure, or near-closure, of the air-bone gap can be obtained in about 60 per cent of patients. This figure falls to about 40 per cent for second and subsequent revision operations. There is little danger of causing a further deterioration in hearing.
Subject(s)
Hearing Loss, Conductive/surgery , Hearing Loss/surgery , Stapes Surgery/adverse effects , Hearing Loss, Conductive/etiology , Humans , Otosclerosis/surgery , Polytetrafluoroethylene , Prostheses and Implants , ReoperationSubject(s)
Ear Ossicles , Bone Diseases/complications , Ear/abnormalities , Ear/injuries , Ear Diseases/congenital , Ear Diseases/etiology , Ear Diseases/surgery , Ear Ossicles/pathology , Ear Ossicles/surgery , Ear, Middle/pathology , Humans , Incus , Malleus , Methods , Otitis Media/complications , Otosclerosis/etiology , Sclerosis , Stapes SurgerySubject(s)
Cholesteatoma/pathology , Ear Diseases/pathology , Ear, Middle/pathology , Adult , Cholesteatoma/complications , Cholesteatoma/diagnosis , Deafness/etiology , Ear Diseases/complications , Ear Diseases/diagnosis , Facial Nerve/pathology , Fistula/etiology , Humans , Labyrinth Diseases/etiology , Mastoid , Tympanic Membrane/pathologyABSTRACT
A small series of 14 post-stapedectomy fistulae illustrates the varied aetiology. The long-term competence of the oval window seal may be ensured by making a small hole in the footplate. Contraction of ageing fibrous tissue contributes to late stapedectomy failures. Long-term follow-up is important, for any deterioration in hearing after stapedectomy may result from a perilymph leak.
