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Surgical management of tympanojugular paragangliomas using the flexible CO\(_2\) laser
Zitieren Sie bitte immer diese URN: urn:nbn:de:bvb:20-opus-324164
- Purpose Surgery is a standard therapy for tympanojugular paragangliomas (TJP). Maintaining the quality of life (QoL) requires functional preservation. The flexible CO\(_2\) laser allows contact-free tumor removal. This retrospective study compares the postoperative functional outcomes of TJP surgery with and without the flexible CO\(_2\) laser. Methods Between 2005 and 2019, 51 patients with TJP were surgically treated at a tertiary hospital. Until 2012, 17 patients received conventional surgery. Thereafter, the flexible laser was used inPurpose Surgery is a standard therapy for tympanojugular paragangliomas (TJP). Maintaining the quality of life (QoL) requires functional preservation. The flexible CO\(_2\) laser allows contact-free tumor removal. This retrospective study compares the postoperative functional outcomes of TJP surgery with and without the flexible CO\(_2\) laser. Methods Between 2005 and 2019, 51 patients with TJP were surgically treated at a tertiary hospital. Until 2012, 17 patients received conventional surgery. Thereafter, the flexible laser was used in 34 patients. Tumor extend, pre- and postoperative cranial nerve function, and complications were compared between the groups. Results The cohort consisted of 33 class A and B tumors and 18 class C and D tumors. Preoperative embolization was performed in 17 cases. Class C/D TJP were usually removed via an infratemporal fossa type A approach. Gross total tumor removal was achieved in 14/18 class C/D tumors. 3/51 patients suffered from long-term partial or complete facial palsy. No differences in post-therapeutic cranial nerve function or complications were noted between the conventional and laser group. One recurrence was observed after complete tumor resection. Conclusion The flexible CO\(_2\) laser was shown to be a safe and effective alternative to conventional bipolar cauterization, which is appreciated by the surgeon in these highly vascularized tumors. Both techniques allowed a high tumor control rate and good long-term results also from a functional point of view.…
Autor(en): | Stephan Hackenberg, Till Jasper MeyerORCiD, Johannes Häfner, Matthias Scheich, Manuel Stöth, Fadi Al-Tinawi, Tilmann Neun, Robert Mlynski, Rudolf Hagen, Agmal Scherzad |
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URN: | urn:nbn:de:bvb:20-opus-324164 |
Dokumentart: | Artikel / Aufsatz in einer Zeitschrift |
Institute der Universität: | Medizinische Fakultät / Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen |
Medizinische Fakultät / Institut für diagnostische und interventionelle Neuroradiologie (ehem. Abteilung für Neuroradiologie) | |
Sprache der Veröffentlichung: | Englisch |
Titel des übergeordneten Werkes / der Zeitschrift (Englisch): | European Archives of Oto-Rhino-Laryngology |
Erscheinungsjahr: | 2022 |
Band / Jahrgang: | 279 |
Heft / Ausgabe: | 12 |
Seitenangabe: | 5623-5630 |
Originalveröffentlichung / Quelle: | European Archives of Oto-Rhino-Laryngology (2022) 279:12, 5623-5630 DOI: 10.1007/s00405-022-07416-5 |
DOI: | https://doi.org/10.1007/s00405-022-07416-5 |
Allgemeine fachliche Zuordnung (DDC-Klassifikation): | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Freie Schlagwort(e): | flexible CO2 laser; jugular paraganglioma; laser surgery; surgical management of paraganglioma; tympanic paraganglioma; tympanojugular paraganglioma |
Datum der Freischaltung: | 17.01.2024 |
Lizenz (Deutsch): | CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International |