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City docs save patient from rare disease
ST Correspondent | Monday, 20 March 2017 AT 10:41 PM IST
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Pune: A patient with a rare case of Glomus tympanicum was recently operated by Dr Vinaya Chitale and her team at Poona Hospital and Research Centre (PHRC).

A 50-year-old diabetic woman presented with progressive hearing loss in her right ear accompanied by constant pulse-like noise (pulsatile tinnitus) in her right ear. Examination revealed a red mass behind the ear drum that was confirmed to be Glomus tympanicum by further imaging.

CT and MRI scans showed the tumour filling her entire right middle ear cavity. Speaking further about the complications, Dr Sanket Dani said the complications were prevalent because of a lot of vital structures around the middle ear. “Like the artery supplying the brain, veins coming from the brain, facial nerve supplying the face, an inner ear which is responsible for hearing and balance,” said Dr Dani. Glomus tympanicum is a rare tumour, noted Dr Dani. He emphasised that the location of the tumour on the middle ear made the case very critical.

“These tumours are usually very vascular that is they have a lot of blood vessels supplying the tumour so chances of bleeding during surgery are high. Surgery is challenging because middle ear is a very confined space to operate in,” said Dr Dani.
The surgery was carried out by Dr Vinaya Chitale and her team comprising Dr Nikhil Gokhale and Dr Sanket Dani at PHRC. Preoperative planning included discussions with neuroradiologist, Dr Sanjay Vaid to determine the exact extent of the tumour and surgery was planned accordingly.

“Patient is doing very well postoperatively. The surgery was successful and achieved all its goals including tumour resection, improving patient’s hearing and preserving the facial nerve. This was possible only through meticulous planning, surgical preparation and a team approach,” noted a doctor on the team.
 
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