Abstract:Objective: To analyze and explore the clinical characteristics of glomus jugnlare tumor, summarize the surgery effect, and improve the experience of diagnosis and treatment of the disease. Methods: A retrospective analysis of the clinical data of 10 patients with glomus jugnlare tumor diagnosed by digital subtraction angiography (DSA) and/or postoperative pathology, summarized the clinical features, imaging features, surgical methods, perioperative management, and postoperative follow-up results. Results: All the cases were single ear involvement, including 8 females. There were 6 cases of unilateral pulsatile tinnitus, 8 cases of hearing loss, 3 cases of earache and dizziness, 4 cases of discharge from the ear canal, and 1 case was found due to a mass in the ear canal due to physical examination. In 7 cases, the tympanic membrane could not be seen due to the tumor protruding into the ear canal. In 3 cases, cherry red or dark red pulsation in the tympanic cavity could be seen through the tympanic membrane, and the tympanic membrane was slightly bulging outward. Pure tone audiometry showed 4 cases of conductive hearing loss, 5 cases of mixed hearing loss, and 1 case of sensorineural hearing loss. CT and MRI were performed in all cases. Tympanic body tumor showed the density of irregular soft tissue in the tympanum and external auditory canal; Glomus jugulare paraganlioma showed the density of soft tissue in the jugular foramen area, and the surrounding area showed "corroded" bone destruction and mass protruding to the tympanum and external auditory canal, the enhanced scan shows obvious enhancement. 3 cases of glomus jugulare paraganlioma underwent DSA examination and showed dense tumor staining in the jugular foramen area. 2 cases were supplied by the ascending pharyngeal artery, and 1 case was supplied by the ascending pharyngeal artery and occipital artery. All 6 patients with tympanic body tumor underwent retroauricular incision tumor resection, 3 patients with glomus jugulare paraganlioma underwent infratemporal fossa type A approach tumor resection, and 1 patient underwent gamma knife treatment. All cases were followed up for 6 months to 5 years without recurrence and no serious complications. Conclusion: Glomus jugnlare tumors have their characteristic clinical features, and it is not difficult to diagnose with careful physical examination and image inspection. Patients with tympanic body tumor can achieve good results through middle ear surgery. Patients with glomus jugulare paraganlioma have high requirements for the surgeon and perioperative treatment due to their special anatomical position. The team is required to have knowledge and experience in lateral skull base surgery. Otherwise, easily lead to serious complications