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Transcanal endoscopic carbon dioxide laser resection of early-stage (A1–B1) glomus tympanicum tumours: single-centre case series

Published online by Cambridge University Press:  05 February 2024

Joan Remacha ,
Laura Pujol ,
Miguel Caballero-Borrego ,
Marta Sandoval ,
Ignacio Viza ,
Alberto Codina ,
Manuel Bernal-Sprekelsen  and
Francisco Larrosa Open the ORCID record for Francisco Larrosa [Opens in a new window]
Joan Remacha
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
Laura Pujol
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
Miguel Caballero-Borrego
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain University of Barcelona Medical School, Barcelona, Spain
Marta Sandoval
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain University of Barcelona Medical School, Barcelona, Spain
Ignacio Viza
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
Alberto Codina
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain
Manuel Bernal-Sprekelsen
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain University of Barcelona Medical School, Barcelona, Spain
Francisco Larrosa*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain University of Barcelona Medical School, Barcelona, Spain
*
Corresponding author: Francisco Larrosa; Email: flarrosa@clinic.cat
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Abstract

Objective

To report a single-centre experience in the endoscopic carbon dioxide laser-assisted approach to glomus tympanicum tumours.

Methods

A retrospective case review was conducted of patients diagnosed with class A1 to B1 glomus tympanicum tumours who underwent exclusive transcanal endoscopic carbon dioxide laser surgery.

Results

Seven patients fulfilled the inclusion criteria. All patients (100 per cent) were women, with a mean age of 65.4 years (standard deviation, 13.6). There were five A2 tumours, one A1 tumour and one B1 tumour. One patient presented with a delayed tympanic membrane perforation needing myringoplasty on follow up. There were no substantial post-operative complications. The mean hospitalisation time was 9.5 hours (standard deviation, 9.8). The mean follow-up period was 32.7 months (standard deviation, 13.1), with all cases having resolution of pulsatile tinnitus and no tumour recurrence.

Conclusion

The study provides further evidence on the safety and efficacy of endoscopic carbon dioxide laser surgery as a minimally invasive technique for treating early-stage glomus tympanicum tumours.

Keywords

Glomus tympanicumparagangliomaendoscopelasersCO2
Type
Main Article
Information
The Journal of Laryngology & Otology , First View , pp. 1 - 5
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Francisco Larrosa takes responsibility for the integrity of the content of the paper

References

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