Clinical Series Outcomes Complications

Clinical outcome for patients with tumors of the jugular foramen, including time to recurrence and neurologic morbidity, is, in part, related to the extent of tumor at the time of diagnosis. Smaller tumors are most amenable to complete resection with minimal risk of cranial nerve deficits. Patients with larger tumors are more likely to present with cranial nerve deficits and carry a higher risk of further cranial neuropathies postoperatively.16,61,80 In their report on glomus jugulare tumors in 1962, Alford and

Guilford36 reported a 6% postoperative recurrence rate for stage 0 tumors limited to the middle ear, and a 100% recurrence rate for the more extensive stage IV lesions eroding the petrous temporal bone and jugular foramen with intracranial extension. More contemporary series report gross total resections for jugular foramen tumors at 70 to 80%.67'79 Facial nerve preservation (House-Brackman grade 1) is reported in more than 90% of these patients at 6 months of follow-up.79

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