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Journal of Neuro-Oncology

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01-12-2020 | Parotidectomy | Topic Review

Temporal bone resection for lateral skull-base malignancies

Authors: Gautam U. Mehta, Thomas J. Muelleman, Derald E. Brackmann, Paul W. Gidley

Published in: Journal of Neuro-Oncology | Issue 3/2020

Abstract

Introduction

Malignancies involving the temporal bone are increasingly common and require specialized multi-disciplinary care. Given this complex location, involvement of the lateral skull base and local neurovascular structures is common. In this review we discuss general principles for temporal bone resection, as well as alternative and complementary surgical approaches that should be considered in the management of patients with temporal bone cancer.

Methods

A comprehensive review on literature pertaining to temporal bone resection was performed.

Results

The primary surgical strategy for malignancies of the temporal bone is temporal bone resection. This may be limited to the ear canal and tympanic membrane (lateral temporal bone resection) or may include the otic capsule and its contents (subtotal temporal bone resection), and/or the petrous apex (total temporal bone resection). Management of adjacent neurovascular structures including the facial nerve, the carotid artery, and the jugular bulb/sigmoid sinus should be considered during surgical planning. Finally, adjunctive procedures such as parotidectomy and neck dissection may be required based on tumor stage.

Conclusions

Temporal bone resection is an important technique in the treatment of lateral skull-base malignancies. This strategy should be incorporated into a multi-disciplinary approach to cancer.

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Title: Temporal bone resection for lateral skull-base malignancies
Authors: Gautam U. Mehta
Thomas J. Muelleman
Derald E. Brackmann
Paul W. Gidley
Publication date: 01-12-2020
Publisher: Springer US
Keywords: Parotidectomy
Neck Dissection
Published in: Journal of Neuro-Oncology / Issue 3/2020
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI: https://doi.org/10.1007/s11060-020-03445-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Temporal bone resection for lateral skull-base malignancies

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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