Endoscopic ear surgery: glomus tympanicum (tympanic paraganglioma)
Mount Sinai neurotologists (Drs. Schwam, Perez, Cosetti, Wanna) are experts in endoscopic ear surgery, a minimally invasive approach that is only performed in a small number of centers, and in glomus tumors, which are very vascular and bloody, benign tumors of the middle ear and jugular bulb. Glomus tumors are a subset of what are known as paragangliomas, which may be located throughout the head and neck (glomus jugulare, carotid body tumors, glomus vagale) as well as other parts of the body (pheochromocytoma). While typically benign, they may cause hearing loss, pulsatile tinnitus, and difficulty swallowing/speaking depending on their size and where they are located. This particular case is that of a glomus tympanicum, a smaller variant that is confined to behind the ear drum. Glomus tympanicum tumors are typically surgically removed, while other types may undergo surgery, radiation, observation, or other therapy.
Mount Sinai neurotologists have the most experience of any center in removing glomus tympanicum tumors using minimally invasive, endoscopic techniques, and recently partnered with an international panel of experts to write guidelines for patients with head and neck paragangliomas.
For more information, go to:
https://www.mountsinai.org/loc....ations/center-hearin
https://pubmed.ncbi.nlm.nih.gov/37011647/
The Mount Sinai Otolaryngology Surgical Video Series was edited by Dr. Zachary Schwam.
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