{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T20:11:16Z","timestamp":1774296676965,"version":"3.50.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T00:00:00Z","timestamp":1691107200000},"content-version":"vor","delay-in-days":34,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The surgical management of jugulotympanic paragangliomas has remained challenging. They are the second most common type of tumor of the temporal bone after acoustic neuroma. It has been noticed by the authors that the jugulotympanic paragangliomas may have extensions to the epitympanum and aditus in addition to the mesotympanum and hypotympanum. The modified technique could be an alternative to the conventional facial recess technique for complete removal of the tumors.<\/jats:p><jats:p>\n          Objective\u2003To highlight the modified surgical technique for the surgical treatment of jugulotympanic paragangliomas.<\/jats:p><jats:p>\n          Methods\u2003This is a retrospective review of 34 cases of jugulotympanic paragangliomas treated in a tertiary center with respect to clinical presentation, diagnosis, and surgical treatment. Tinnitus and hearing loss were predominant symptoms. A modified technique of postauricular transcanal posterior tympanectomy with extended hypotympanic access was performed in 29 patients. Only two cases were operated with a classical transcanal approach. A canal wall down the mastoidectomy was required in three patients.<\/jats:p><jats:p>\n          Results\u2003The patients operated on with the modified technique had complete excision evident by absence of any lesion in computed tomography and the disappearance of tinnitus. However, two patients had recurrence of symptoms and presence of tumor in the follow-up period. These two patients underwent revision surgery. None of the patients required postoperative radiotherapy or gamma knife therapy.<\/jats:p><jats:p>\n          Conclusions\u2003Jugulotympanic paragangliomas can be effectively managed with the modified technique to ensure complete removal of the lesions. This technique has not been reported earlier in the literature.<\/jats:p>","DOI":"10.1055\/s-0042-1742766","type":"journal-article","created":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T22:37:01Z","timestamp":1691188621000},"page":"e407-e411","source":"Crossref","is-referenced-by-count":3,"title":["Postauricular Transcanal Posterior Tympanectomy (PT2) Approach \u2013 A Modified Surgical Technique for Jugulotympanic Paragangliomas"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1767-7013","authenticated-orcid":false,"given":"Naresh K.","family":"Panda","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2173-7725","authenticated-orcid":false,"given":"Gyanranjan","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1001\/archotol.1945.00680030087006","article-title":"Carotid body tumor of the middle ear and mastoid","volume":"41","author":"H Rossenwasser","year":"1945","journal-title":"Arch Otolaryngol"},{"issue":"01","key":"ref2","first-page":"7","article-title":"Glomus tumors of the temporal region: surgical therapy","volume":"1","author":"D Oldring","year":"1979","journal-title":"Am J Otol"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1001\/archotol.1982.00790550005002","article-title":"Glomus Tumors. Diagnosis, classification, and management of large lesions","volume":"108","author":"C G Jackson","year":"1982","journal-title":"Arch Otolaryngol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1001\/archotol.1968.00760060552023","article-title":"Glomus tympanicum tumors","volume":"87","author":"W F House","year":"1968","journal-title":"Arch Otolaryngol"},{"key":"ref5","first-page":"28","article-title":"A hitherto unrecognized structure- the Glomus jugularis","volume":"70","author":"S R Guild","year":"1941","journal-title":"Man Anat. Rec"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.wjorl.2017.08.002","article-title":"Endoscopic excision of a tympanic paraganglioma: Training the next generation of ear surgeons","volume":"3","author":"N Pollak","year":"2017","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"issue":"01","key":"ref7","first-page":"1","article-title":"Transcanal endoscopic excision of tympanic paraganglioma, a report of our surgical technique","volume":"6","author":"A AS Mohammed","year":"2020","journal-title":"The Egyptian J Neck Surgery Otorhinolaryngology."},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1288\/00005537-195504000-00001","article-title":"Surgical approach for so-called glomus jugulare tumors of the middle ear","volume":"65","author":"G E Shambaugh Jr","year":"1955","journal-title":"Laryngoscope"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1001\/archotol.1967.00760050369003","article-title":"Glomus tumors. Postauricular hypotympanotomy and hypotympanoplasty","volume":"86","author":"J B Farrior","year":"1967","journal-title":"Arch Otolaryngol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.otot.2015.12.005","article-title":"Tympanic paraganglioma. Resection techniques","volume":"27","author":"D Jethanamest","year":"2016","journal-title":"Operation Techniques in Otolaryngology"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1742766.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,4]],"date-time":"2023-08-04T22:38:07Z","timestamp":1691188687000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1742766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":10,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,8,4]]},"published-print":{"date-parts":[[2023,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1742766","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"value":"1809-9777","type":"print"},{"value":"1809-4864","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}