Giant Glomus
Giant Glomus
Fig.1 Large neck mass. Inferiorly extends upto clavicle. Superiorly extends upto the ear lifting the lobule of the ear.
Fig.2 CT angio shows a hypervascular mass extending from clavicle to the skull base surrounding the CCA, ECA & ICA. Temporary baloon occlusion test revealed good cross circulation through circle of willis. Therefore, ICA was occluded permanently.
Fig.3 Coronal MRI shows the extent of tumour. Green arrow – Condyle.
Fig.4 Axial MRI shows the tumour extent and the narrowed oropharyngeal airway.
Fig.5 Mandibulotomy was done to expose the tumour reaching skull base. Yellow arrow – site of mandibulotomy. Green arrow – internal jugular vein.
Fig.6 Tumour within the lumen of IJV.
Fig.7 Tumour in the IJV was found extending into subclavian vein and was pulled out (yellow arrows). Green arrow – subclavian vein.
Fig.8 Excised tumour. Forceps is holding the lower cut end of IJV. Green arrow – tumour pulled out of lower part of IJV. Yellow arrow – tumour pulled out from subclavian vein.
Fig.9 Post-op MRI shows complete resection of tumour.
Fig.10 After complete excision of tumour along with CCA, ECA, ICA, IJV and lower cranial nerves.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)