Abstract
TINNITUS is a common otologic complaint. It is difficult to decide which type of tinnitus should be more thoroughly evaluated. Unilateral tinnitus is a symptom that may indicate serious disease such as an acoustic neuroma. When the sound is pulsating, as well as unilateral, one must be suspicious of a glomus tumor. If a mass is seen behind the eardrum of a patient with unilateral pulsating tinnitus, a diagnosis of glomus tumor is almost certain. Biopsy of the mass is not indicated. Further evaluation of the patient, therefore, should be directed toward establishing the size and extent of the tumor so that the appropriate surgical procedure can be planned. The purpose of this paper is to outline the approach to diagnosis and treatment of these tumors in the Otologic Medical Group. Management of Glomus Tumors Glomus tumors of the temporal bone arise from glomus structures situated along Jacobson's nerve or
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