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Saudi Journal of Medicine (SJM)
Volume-11 | | Issue-02 | 93-95
Original Research Article
Surgical Management of Glomus Jugulare Tumors in a Nigerian Hospital: Technical Considerations, Challenges, and Outcomes
Jamila Lawal, Dr Ifeanyi, Yimi David Chom, Mainasara Garba Mohammed, Danjuma Sale
Published : Feb. 27, 2026
DOI : https://doi.org/10.36348/sjm.2026.v11i02.007
Abstract
Glomus jugulare tumors are rare, highly vascular paragangliomas of the skull base that pose significant surgical challenges due to their proximity to critical neurovascular structures and their propensity for extensive local invasion. In low- and middle-income countries such as Nigeria, limitations in access to advanced imaging, preoperative embolization, intraoperative neuromonitoring, and blood products further complicate management. The objective is to describe the surgical technique, perioperative management, and outcomes of patients with glomus jugulare tumors managed in a Nigerian hospital. This was a prospective case series of patients with radiologically confirmed glomus jugulare tumors managed surgically from January 2024 to December 2025. Preoperative evaluation included cranial nerve assessment and cross-sectional imaging. Surgical approaches, extent of resection, estimated blood loss, perioperative complications, and functional outcomes were analyzed. Seven patients were included, with a mean age of 45.7 years. Hearing loss and lower cranial nerve dysfunction were the most frequent presenting symptoms. Gross total resection was achieved in 5 patients (71.4%). The mean estimated blood loss was 253 ml. One patient (14.3%) developed new or worsened postoperative lower cranial nerve deficits, which improved during follow-up. No perioperative mortality occurred. Adjuvant radiotherapy was recommended for subtotal resections but could not be administered due to limited availability. Despite significant resource constraints, surgical management of glomus jugulare tumors in Nigeria is feasible with acceptable oncological and functional outcomes. Early diagnosis, meticulous microsurgical technique, and a multidisciplinary collaboration remain critical for optimizing patient outcomes in resource-limited settings.
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