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Management strategies of glomus jugular tumor

Presenting Author: Yasheng Yuan

Published online by Cambridge University Press:  03 June 2016

Yasheng Yuan ,
Fanglu Chi ,
Qiang Du ,
Weidong Zhao ,
Chunfu Dai ,
Jing Wang  and
Bing Chen
Yasheng Yuan
Affiliation:
EYE & ENT Hospital of Fudan University
Fanglu Chi
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
Qiang Du
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
Weidong Zhao
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
Chunfu Dai
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
Jing Wang
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
Bing Chen
Affiliation:
Department of Otology and Skull Base Surgery, EYE & ENT Hospital of Fudan University, Shanghai 200031
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Abstract

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Learning Objectives: Facial nerve management in the surgery Internal carotid artery management in the surgery Intracranial vascular bypass

As for the most challenging surgery of the lateral skull base, glomus jugular tumor resection is now safely controlled and managed. In this study we focused on the the strategies of facial nerve and internal carotid artery management during glomus jugular tumor surgery, especially for the C and D stage tumor in which the internal carotid artery was severely involved and could not be easily seperated. Furthermore we tried the extra-intracranial vascular bypass when the internal carotid artery could not be saved in the surgery, by which the mortality and intracranial complications were greatly reduced.