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ENT · Ear and audiology: Fisch classification
Sample itemA radiologist describes a glomus tumour that involves the jugular bulb, the infralabyrinthine compartment and carotid canal, with intracranial extension. Which classification is used to stage such tumours?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Fisch classification
The Fisch classification stages glomus tumours by extent of temporal bone involvement: class A for tympanic, B for tympanomastoid, C for infralabyrinthine and petrous apex, and D for intracranial extension. It guides the surgical approach. House-Brackmann grades facial palsy.
Option by option
A. Myer-Cotton grade
Myer-Cotton grades subglottic stenosis.
B. Chandler classification
Chandler stages orbital complications of sinusitis.
C. Fisch classification (correct)
Correct. It classifies glomus tympanicum and jugulare by extent.
D. House-Brackmann grade
This grades facial nerve function.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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