Management of jugular tympanic paraganglioma: a case report.

Pan Afr Med J

Ear, Nose, Throat Department of Fattouma Bourguiba, University Hospital of Monastir, Resaerch Laboratory LR18Sp08, Monastir, Tunisia.

Published: February 2023

Paragangliomas could be localized from the skull base to the pelvic floor. Tympanic localization represents the most common benign tumor of the middle ear. Diagnosis is based on clinical signs with a great contribution of radiology. A 40-year-old male presented with isolated tinnitus of the right ear evolving for 18 months. Examination revealed a red bulging right-sided tympanic membrane and a conductive hearing loss. Tomodensitometry and Magnetic resonance imagery showed findings in favor of a right jugular tympanic paraganglioma. The tumor was classified type B according to FISCH classification. The patient underwent surgery consisting in tympanotomy using a retro auricular access route. The postoperative course was uneventful. There was no recurrence during the one-year follow-up. Jugular tympanic paraganglioma diagnosis is guided by a combination of epidemiological, clinical and radiological features. Treatment is still not consensual, but surgery still have its indications in localized forms of head and neck paragangliomas (HNP´s).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9941617PMC
http://dx.doi.org/10.11604/pamj.2022.43.166.29457DOI Listing

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