Glasscock-Jackson Classification

  • The Glasscock-Jackson Classification system is a classification scheme for jugulotympanic paragangliomas.1
    • There is a separate classification schemes for glomus tympanicum and for glomus jugulare.
    • One of 2 commonly used classification schemes for jugulotympanic paragangliomas, the other being the Fisch Classification Scheme.23
  • Glomus tympanicum
    • Type 1: Small mass limited to the promontory
    • Type 2: Tumour completely filling the middle ear.
    • Type 3: Tumour filling middle ear and mastoid.
    • Type 4: Further extension through the EAC or anteriorly to the carotid artery.
  • Glomus jugulare
    • Type 1: Small tumour involving the jugular bulb, middle ear, and mastoid.
    • Type 2: Tumour extending to the internal auditory canal, with or without intracranial extension.
    • Type 3: Tumour extending to the petrous apex, with or without intracranial extension.
    • Type 4: Tumour extending beyond the petrous apex to the clivus or infratemporal fossa, with or without intracranial extension.

Glasscock Jackson Classification

Glomus Tympanicum
Type 1 Small mass limited to the promontory
Type 2 Tumour completely filling the middle ear
Type 3 Tumour filling the middle ear and mastoid
Type 4 Tumour completely filling the middle ear, mastoid or through the external auditory canal. May also extend anteriorly to involve the carotid artery
Glomus Jugulare
Type 1 Small tumour involving the jugular bulb, middle ear, and mastoid
Type 2 Tumour extending under the internal auditory canal
May or may not have intracranial extension
Type 3 Tumour extending to the petrous apex
May or may not have intracranial extension
Type 4 Tumour extending beyond the petrous apex into the clivus or infratemporal fossa
May or may not have intracranial extension
  1. Jackson, C. Gary, Michael E. Glasscock, and Perry F. Harris. “Glomus tumors: diagnosis, classification, and management of large lesions.” Archives of Otolaryngology 108.7 (1982): 401-406. 

  2. Oldring, D., and U. Fisch. “Glomus tumors of the temporal region: surgical therapy.” The American Journal of Otology 1.1 (1979): 7-18. 

  3. Fisch, Ugo. “Infratemporal fossa approach for glomus tumors of the temporal bone.” Annals of Otology, Rhinology & Laryngology 91.5 (1982): 474-479. 

Last updated September 28, 2022