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The records of 184 patients with 185 tympanojugular paragangliomas were analyzed for tumor class, surgical procedure, preoperative vascular management, and perioperative sequelae.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of class C1, C2, C3, and C4 tumors, we found 46 (24.9%), 95 (51.3%), 41 (22.2%), and 3 (1.6%), respectively. One hundred four (56.2%) tumors had intracranial extensions and 8 (4.3%) involved the vertebral artery. A single\u2010stage procedure was adopted in 158 (85.4%) tumors. The infratemporal fossa type A approach was used in all cases. In 17 patients (9.7%), an intra\u2010arterial stenting of the internal carotid artery was performed. Gross\u2010total tumor removal was achieved in 166 cases (89.7%) and 4 (2.4%) among them developed a recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A thorough understanding of skull base techniques and a logical decision\u2010making process in the management of tympanojugular paragangliomas can achieve a high rate of success in terms of recurrences and complications. \u00a9 2015 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> 38: 871\u2013885, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.24177","type":"journal-article","created":{"date-parts":[[2015,9,7]],"date-time":"2015-09-07T06:45:58Z","timestamp":1441608358000},"page":"871-885","source":"Crossref","is-referenced-by-count":36,"title":["Strategies and long\u2010term outcomes in the surgical management of tympanojugular paragangliomas"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7989-4304","authenticated-orcid":false,"given":"Sampath Chandra","family":"Prasad","sequence":"first","affiliation":[{"name":"Department of Otology and Skull Base Surgery Gruppo Otologico Piacenza Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassen Ait","family":"Mimoune","sequence":"additional","affiliation":[{"name":"Department of Otology and Skull Base Surgery Gruppo Otologico Piacenza Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsen","family":"Khardaly","sequence":"additional","affiliation":[{"name":"Department of Otology and Skull Base Surgery Gruppo Otologico Piacenza Rome Italy"},{"name":"King Fahad Central Hospital Jizan Kingdom of Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Piazza","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Parma Parma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Otology and Skull Base Surgery Gruppo Otologico Piacenza Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Sanna","sequence":"additional","affiliation":[{"name":"Department of Otology and Skull Base Surgery Gruppo Otologico Piacenza Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2010.03.006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1993.103.s60.7"},{"key":"e_1_2_6_4_1","first-page":"450","volume-title":"Controversies in Otolaryngology","author":"Fisch U","year":"2001"},{"key":"e_1_2_6_5_1","first-page":"148","volume-title":"Paragangliomas of the temporal bone. 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