Evidence map›Paper›PMID 38977468›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2024

The intrabulbar or extrabulbar growth pattern and its surgical outcomes of jugular foramen paragangliomas.

Wenfang Sun, Yibo Zhang, Wei Li, Feitian Li, Yisi Feng, Qianru Wu, Chunfu Dai

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wenfang SunDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Yibo ZhangDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Wei LiDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Feitian LiDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Yisi FengDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Qianru WuDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Chunfu DaiDepartment of Otology and Skull Base Surgery, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China. cfdai66@126.com.ORCID http://orcid.org/0000-0002-6948-7289

Funding

Shanghai Municipal Key Clinical Specialty shslczdzk00801
6 · The paper itself

Abstract

objectiveThis study is to define a subclassification system of jugular foramen paragangliomas (JFPs) and to demonstrate corresponding microsurgical outcomes of JFPs. STUDY

designRetrospective study.

settingA single-center study.

methodsWe conducted a retrospective review of the clinical data of 44 patients with JFPs who underwent surgical management. Extrabulbar(Be) tumor and intrabulbar(Bi) tumor are defined based on the growth patterns, receiver operating characteristic (ROC) curves of the imaging profile were generated and was confirmed based on intraoperative findings. Area Under Curve (AUC), accuracy, sensitivity, and specificity for diagnostic imaging were revealed. We also compared the correlation between the two growth patterns with Fisch's classification, blood loss, lower cranial nerves (LCNs) deficit.

resultsThere are 27 (69%) cases of Bi tumor and 17 (39%) cases of Be tumor. Significant radiomics features between the two growth patterns were demonstrated, ROC curves achieved excellent AUCs for MRI sequences (T1W1 MRI, MR contrast-enhanced sequence, MR complex sequences and MR complex + DSA by 0.833, 0.833, 0.875, 0.944) and had statistically significant in diagnosis of two growth patterns (P<0.05). There was no statistical correlation between growth patterns of JFPs and intra-operative blood loss. Preoperative LCNs deficits and Fisch's classification of tumors were correlated with the growth patterns of JFPs (P < 0.05).

conclusionWe proposetd two growth patterns of JFPs in term of the inferior petrous sinus involvement. Identification of Bi or Be growth patterns preoperatively is helpful to design optimal surgical strategies and minimize postoperative complications.

Indexed as

Jugular ForaminaMagnetic Resonance ImagingAdolescentAdultAgedFemaleGlomus Jugulare TumorHumansMaleMicrosurgeryMiddle AgedParagangliomaRetrospective StudiesROC CurveSkull Base NeoplasmsTomography, X-Ray ComputedExtrabulbar(be)Growth patternInferior petrosal sinus(IPS)Intrabulbar(Bi)Jugular foramen paragangliomas (JFPs)

Identifiers

PMID38977468

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.