Abstract
A 52-year-old woman complained of pulsation tinnitus for 1 year and mild dizziness for 1 month. Physical examination revealed a vascular mass in the right ear and no cranial nerve deficits. Pre-operative CT, MRI and angiography demonstrated a glomus jagulare tumor in the middle ear without severe bony destruction. The tumor was classified as class C (Fisch classification). In this case, we used the technique of infratemporal fossa approach without carotid artery exposure and preserved cochlea, vestibule and facial nerve. After extirpation of the tumor, the external auditory canal was reconstructed with bony chip and patty and the osscicular chain was rearranged using ceramic prosthesis. Tympanic membrane was damaged in the operative procedures, the reconstructed membrane was too thick to hearing ordinary conversation. Canal reconstructive methods of the glomus jagulare tumor was indeed remarkable, but was to be improved against blood insufficiency.
