Abstract
Objectives to discuss a five-year experience in surgical treatment of temporal bone paragangliomas from the point of view of U. Fisch and D. Mattox classification modified by М. Sanna in 2013.
 Material and methods. In the period from February 2015 till December 2020, we performed 130 operations to remove temporal bone paraganglioma. The examined and operated patients included 34 men and 96 women aged from 2 to 82 years. The paraganglioma types A, B and C were distributed as follows: type A in 22 patients (A1 12 cases, A2 10 cases); type B in 73 patients (B1 25 cases, B2 16 cases, B3 32 cases); type C in 35 patients (С1 10 cases, С2 12 cases, С3 7 cases, С4 5 cases)
 Results. The evaluated results included the quality of tumor removal, the auditory function and the function of the facial nerve in relation to the size of the neoplasm, registered during the early and late postoperative periods. Based on the study data, we developed an algorithm of tactics of surgical treatment of patients with this type of temporal bone pathology aimed to avoid damage to the vital structures of the lateral skull base.
Highlights
Сitation Diab KhMA, Daikhes NA, Umarov PU, Pashchinina OA, Zagorskaya DA
Based on the study data, we developed an algorithm of tactics of surgical treatment of patients with this type of temporal bone pathology aimed to avoid damage to the vital structures of the lateral skull base
Type B paraganglioma: the tympanic cavity is filled with a soft-tissue substrate, thinning of the bone wall of the jugular bulb is observed
Summary
Цель – представить свой пятилетний опыт хирургического лечения параганглиом височной кости с учетом классификации U. Было проведено 130 операций по удалению параганглиомы височной кости (за период с февраля 2015 года по декабрь 2020 года). Обследовано и прооперировано 22 больных с параганглиомой типа А (из них А1 – 12 пациентов, А2 – 10 пациентов). Тип В – 73 больных (В1 – 25 пациентов, В2 – 16 пациентов, В3 – 32 пациента). Тип С – 35 больных (С1 – 10 пациентов, С2 – 12 пациентов, С3 – 7 пациентов, С4 – 5 пациентов). Составлен алгоритм тактики хирургического лечения пациентов с данной патологией височной кости, позволяющий избежать поражения жизненно важных структур латерального основания черепа. Ключевые слова: параганглиома височной кости, хирургия уха, хирургическое лечение. Пятилетний опыт хирургического лечения параганглиомы височной кости.
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