Lateral Skull Base | Paragangliomas | Mr Rupert Obholzer

Mr Rupert Obholzer
- Consultant ENT & Skull Base Surgeon,
Guy’s and St Thomas and Kings College Hospitals

National Lateral Skull Base Training Day ,
11th June 2020

Curriculum topics (UK Otolaryngology Higher Surgical Training 2017)
1. Otology - Lateral skull base tumours

00:58 - Overview
01:37 - Terminology
02:32 - Head and neck paraganglioma
03:21 - Tympanic v jugular paraganglioma
06:09 - Distinguishing a jugular and tympanic paraganglioma
08:01 - Other temporal bone paraganglioma
09:27 - Natural history
12:30 - Workup and genetics
15:03 - Treatment options and rationale
17:18 - Radiation
19:33 - Surgery - rationale and extent of excision
21:05 - Radiation v surgery comparison
23:08 - Jugular paraganglioma surgery - evolution
26:31 - Patients requiring surgery with case example
28:57 - Treatment for tympanic paraganglioma and surgical risks
30:32 - Managing multifocal disease
31:00 - Take home message

Questions
31:40 - Does radiotherapy reduce catecholamine production?
32:20 - Role of embolisation preoperatively