A new method for selecting auricle positions in skull base reconstruction for temporal bone cancer

Tanaka, Kentaro; Yano, Tomoyuki; Homma, Tsutomu; Tsunoda, Atsunobu; Aoyagi, Masaru; Kishimoto, Seiji; Okazaki, Mutsumi

doi:10.1002/lary.27170

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…Musculocutaneous submental flap is an excellent option with reduced operative time, hospitalization duration, and flap revisions, because of its proximity, reliability, ease of harvest, and exceptional color match [ 31 ]. Tanaka et al reported a new method for selecting intraoperative accurate auricle positions in skull base reconstruction for advanced temporal bone carcinoma cases, so that auricle can be preserved as much as possible from a cosmetic and functional perspective [ 32 ]. Morita et al have shown that reconstruction of the EAC using split-thickness skin graft in combination with tympanoplasty can preserve hearing after LTBR for early-stage external auditory canal carcinoma [ 33 ].…”

Section: Treatmentmentioning

confidence: 99%

Treatment Strategies for Malignancies of the External Auditory Canal

Zhong

Zuo

2022

Curr. Treat. Options in Oncol.

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Opinion statementMalignant tumors of the external auditory canal (EAC) are rare tumors in the head and neck. Delayed diagnosis is not uncommon because the symptoms of early tumors are nonspecific. Various surgical and oncological treatment modalities have been reported. Decision-making depends on pathological feature and stage of the lesions, patient’s general condition and preference, and physician’s experience and skill. Radical surgery is widely accepted as the primary treatment of choice. Postoperative radiotherapy is used more often to improve local and regional control of the disease. Chemotherapy is usually recommended for advanced disease, residual disease, and metastasis. Prognosis is affected by multiple factors such as TNM stage, surgical margin, pathological type and differentiation of tumor, involvement of facial nerve, and so on. Although the survival rate is improved significantly over the past several decades with the development of skull base surgery, neuroradiology, anesthesiology, and oncology, it remains challenging to diagnose and treat EAC malignancies due to the rarity, the local anatomical complexity of temporal bone, and the lack of standard TNM staging system.

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Section: Treatmentmentioning

confidence: 99%

Treatment Strategies for Malignancies of the External Auditory Canal

Zhong

Zuo

2022

Curr. Treat. Options in Oncol.

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“…Since natural auricles have evident advantages in wearing glasses or masks, resistance to trauma, and esthetic appearance, auricle-conserving surgery should be encouraged for exploration, especially in the case of the EAC and/or middle ear carcinoma. Tanaka et al 5 reported a study regarding lateral skull reconstruction by the ALT flap while preserving most of the auricle. The operation began with a long transcranial incision, subgaleal dissection, and a large flap with the remaining auricle.…”

Section: An Active Role Of Reconstructive Surgeon In Otologic Tumor Surgerymentioning

confidence: 99%