Temporal Bone Paraganglioma: Hearing Outcomes and Rehabilitation

J Neurol Surg B Skull Base. 2019 Apr;80(2):209-213. doi: 10.1055/s-0039-1679890. Epub 2019 Feb 14.

Abstract

Despite numerous advancements in the treatment of skull base tumors, the management of jugular paragangliomas remains controversial and nuanced. Contemporary treatment objectives focus not only on achieving durable tumor control but also on maximizing post-treatment quality of life. While this philosophy places appropriate attention on limiting cranial neuropathies, less discussed morbidities such as hearing loss can have a profound impact on quality of life outcomes. The objective of this retrospective review is to provide a comprehensive review of hearing outcomes following the treatment of tympanojugular paragangliomas. A particular focus is placed on the variable audiologic outcomes as it relates to disease pathology, extent of disease, as well as chosen treatment modality. This review underscores the importance of considering treatment-related effects on hearing.

Keywords: glomus tympanicum; hearing outcomes; paraganglioma; stereotactic radiosurgery.