Tumo Glomus tympanum

ʻO kahi tumo glomus tympanum kahi tumo o ka pepeiao waena a me ka iwi ma hope o ka pepeiao (mastoid).

Ke ulu nei kahi tumo glomus tympanum i ka iwi maha o ka iwi poʻo, ma hope o ka eardrum (membrane tympanic).

Aia kēia ʻāpana i nā olonā nerve (nā kino glomus) e pane maʻamau i nā loli o ka mahana o ke kino a i ʻole ke kaomi koko.

Hana pinepine kēia mau tumors i ka hopena o ke ola, ma kahi o 60 a 70 paha makahiki, akā hiki ke ʻike ʻia i kēlā me kēia makahiki.

ʻAʻole ʻike ʻia ke kumu o kahi tumo glomus tympanum. I ka hapanui o nā hihia, ʻaʻohe mea ʻike e ʻike ʻia ai ka pilikia. Ua hoʻopili ʻia nā tumomoma Glomus me nā loli (mutations) i loko o kahi ʻāpana e pili ana i ka enzyme succinate dehydrogenase (SDHD).

Pākuʻi ʻia paha nā ʻōuli:

• Lohe i ka pilikia a i ʻole ke eo
• Ke kani nei i ka pepeiao (tinnitus pulsusive)
• Nawaliwali a nalowale paha o ka neʻe ʻana i ka maka (palsy nerve maka)

ʻIke ʻia nā ʻōpala Glomus tympanum e kahi hoʻokolohua kino. ʻIke ʻia paha lākou i ka pepeiao a i ʻole ma hope o ka eardrum.

Hoʻopili pū ka diagnostics i ka scan, me:

• CT scan
• MRI hoʻoili

ʻAʻole maʻi iki nā ʻōpala Glomus tympanum i ka maʻi ʻaʻai a ʻaʻole hele a pālahalaha i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, pono ʻia ka lāʻau e hōʻoluʻolu ai i nā ʻōuli.

ʻO ka poʻe i loaʻa i ka ʻoki kino e hana maikaʻi. Ma mua o 90% o ka poʻe me nā tumom glomus tympanum e hoʻōla ʻia.

ʻO ka pilikia maʻamau ka nalo ʻana o ka lohe.

ʻO ka hōʻino ʻia o ke aʻa, i kumu ʻia e ka tumo iho a i ʻole pohō i ka wā o ke kaha. Hiki ke hōʻeha i ke aʻalolo i ke kīnā o ka maka.

Kāhea i kāu kahu mālama ola inā ʻike ʻoe:

• Ka paʻakikī me ka hoʻolohe ʻana a me ka ale ʻana paha
• Nā pilikia me nā mākala i kou alo
• Pulsing sensation i loko o kou pepeiao

Paraganglioma - glomus tympanum

ʻO Marsh M, ʻo Jenkins HA. ʻO nā neoplasms iwi kuamoʻo a me ke keʻoki kumu cranial lateral. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 176.

ʻO Rucker JC, Thurtell MJ. Nā neuropathies Cranial. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 104.

Nā Tumors Zanotti B, Verlicchi A, Gerosa M. Glomus. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 156.