Evidence map›Paper›PMID 40964583›Full record

ArticleCureus2025

Jugulotympanic Glomus: A Case Report on a Rare Presentation of a Vascular Middle Ear Tumor.

Maria J Heredia, Katia Y Lopez-Zamarron, Eliany Leon Figueredo, Elena Kate Ligori Vasquez, Daniela Enriquez Chavez, Mayra Isabel Jarquin Cervantes

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In one paragraph

Article in Cureus, 2025. 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

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Maria J HerediaCardiology, Ministry of Public Health of Ecuador, Quito, ECU.
Katia Y Lopez-ZamarronHealth Sciences Division, University of Monterrey, San Pedro Garza Garcia, MEX.
Eliany Leon FigueredoGeneral Medicine, Englewood Health Physician Network - Primary Care, New Jersey, USA.
Elena Kate Ligori VasquezSchool of Medicine, Faculty of Health Sciences, Peruvian University of Applied Sciences, Lima, PER.
Daniela Enriquez ChavezFaculty of Human Medicine, Universidad de San Martin de Porres, Lima, PER.
Mayra Isabel Jarquin CervantesSchool of Medicine, University of the Sierra Sur, Miahuatlán de Porfirio Díaz, MEX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Jugulotympanic paragangliomas (JTPs) are neuroendocrine tumors, frequently benign, that originate from paraganglia cells. Due to their small initial size and slow growth, they tend to be asymptomatic for long periods, leading to delayed presentation. Our case report describes a JTP complicated by mastoiditis and a Bezold abscess. We report the case of a 70-year-old female with a history of hypertension and an ischemic stroke 20 years prior, who was diagnosed with an unresectable JTP via MRI. At the time of presentation, she reported progressive ear pain, fever, and a tender mass behind the ear that had developed over the preceding two weeks. On examination, findings were consistent with mastoiditis, and otoscopy of the right ear showed malodorous otorrhea partially obscuring the external canal, a perforated tympanic membrane, and a red-violaceous, pulsatile mass behind it, for which, along with the already diagnosed JTP, she was admitted to the hospital. The patient experienced recurrent infections not typically associated with this tumor type. Well-known complications are otalgia, hoarseness of voice, and nerve palsy involving the facial nerve (cranial nerve VII) -- deficits associated with the mass effect near nerves found adjacent to the neck and ear. It is rare to discover mastoiditis or a Bezold abscess in this population, with only a few cases being reported worldwide. Considering the paraganglioma remained at its initial size, this did not correlate with the complications; instead, the obstruction of the ear canal, negative pressure, and tubal dysfunction created favorable conditions for bacterial growth, predisposing to infections. Strict follow-up is essential for each patient to enable early diagnosis at a treatable stage, thereby reducing adverse outcomes. Given the limited published data on this rare occurrence, we aim to contribute to the existing case reports and highlight the need for further research on uncommon paragangliomas to optimize management strategies and anticipate potential complications.

Indexed as

bezold abscessglomus tumorjugulotympanic paragangliomamastoiditisotitis media complications

Identifiers

PMID40964583
PMCPMC12440263

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