Long-Term Surgical Results for Glomus Temporale Tumors

Bradley Bowdino, Patrick Farrell, Gary Floyd Moore, Lyal Leibrock

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Purpose: The purpose of the study is to evaluate a series of patients with glomus temporale tumors and to review survival, complications, cranial nerve function, and functional status. Methods: Retrospective review of 33 patients with glomus temporale tumors. Results: Complete surgical removal was achieved in 96% of patients, and subtotal removal was achieved in 4%. There was no operative mortality. Seventy-five percent of the patients had a grade I or II/ VI on the House-Brackman scale rating facial nerve function 6 months after surgery. After surgery, 36% of patients had hearing that was within normal limits. Another 36% were anacoustic or had no useful hearing. Hoarseness was present in 18% of patients. Seven percent required long-term feeding tubes because of swallowing dysfunction and aspiration. Fourteen percent did not return to work in the same capacity of preoperative employment. Conclusions: Facial nerve function is worse with complete facial nerve transposition, and postoperative nerve function improves with less mobilization of the nerve and the surgical team's experience. Partial facial nerve transposition in properly selected patients can improve postoperative facial nerve outcomes. Hearing improvement and preservation are attainable. The large majority (93%) of patients return to the work force. Aspiration and swallowing abnormalities from lower cranial nerve problems, particularly the vagus nerve, are the most difficult to manage.

Original languageEnglish (US)
Pages (from-to)19-26
Number of pages8
JournalNeurosurgery Quarterly
Volume14
Issue number1
DOIs
StatePublished - Mar 1 2004

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Glomus Tumor
Facial Nerve
Hearing
Return to Work
Cranial Nerves
Deglutition
Hoarseness
Vagus Nerve
Enteral Nutrition
Survival
Mortality

Keywords

  • Facial nerve outcomes
  • Glomus jugulare
  • Glomus temporale
  • Surgical results

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Long-Term Surgical Results for Glomus Temporale Tumors. / Bowdino, Bradley; Farrell, Patrick; Moore, Gary Floyd; Leibrock, Lyal.

In: Neurosurgery Quarterly, Vol. 14, No. 1, 01.03.2004, p. 19-26.

Research output: Contribution to journalReview article

Bowdino, Bradley ; Farrell, Patrick ; Moore, Gary Floyd ; Leibrock, Lyal. / Long-Term Surgical Results for Glomus Temporale Tumors. In: Neurosurgery Quarterly. 2004 ; Vol. 14, No. 1. pp. 19-26.
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