Carcinoma of the Temporal Bone

Hirsch, Barry E.; Chang, Caroline Y.; Antonio, Stephanie Moody

doi:10.1016/b978-1-4160-2445-3.50127-8

Cited by 7 publications

(11 citation statements)

References 20 publications

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“…A good outcome could derive from a disease-free margin at the operation. Several reports emphasized the effectiveness of postoperative RT to control the residual tumor at the margin (4)(5)(6)16,(23)(24)(25)27). However, several authors insisted that incomplete resection was the major cause of recurrence and that postoperative radiation was not beneficial (7,8,13).…”

Section: Discussionmentioning

confidence: 99%

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Squamous Cell Carcinoma of the External Auditory Canal and Middle Ear: An Operation Combined with Preoperative Chemoradiotherapy and a Free Surgical Margin

Nakagawa¹,

Kumamoto²,

Natori³

et al. 2006

Otology & Neurotology

123

138

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Section: Discussionmentioning

confidence: 99%

“…Lateral TBR was conducted in a manner similar to the technique described by Hirsch and Chang (16). In addition to lateral TBR, upper neck dissection was always performed with the specimen attached to the resected temporal bone.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Squamous Cell Carcinoma of the External Auditory Canal and Middle Ear: An Operation Combined with Preoperative Chemoradiotherapy and a Free Surgical Margin

Nakagawa¹,

Kumamoto²,

Natori³

et al. 2006

Otology & Neurotology

123

138

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“…Irradiation is ineffective as a primary treatment modality. 7 Surgical indications are based on the location and stage of the tumour. 5 As an adjunct, most authors advocate a full course of post-operative irradiation to patients with stage T 3 and T 4 tumours.…”

Section: Case Historymentioning

confidence: 99%

“…4,5 Chemoradiation may be offered to those unfit for surgery, as palliative therapy. 7 Medina et al have described several modifications of the lateral temporal bone resection technique based on the location of disease. [4][5][6] The relevant operative procedures have previously been described in detail.…”

Section: Case Historymentioning

confidence: 99%

Persistent otorrhoea with an abnormal tympanic membrane secondary to squamous cell carcinoma of the tympanic membrane

et al. 2010

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“…LTBR was conducted in a manner similar to the technique described by Hirsch and Chang [1997]. A circumferential incision was made around the concha and tragal cartilage, and a curved postauricular incision was made approximately 1 cm posterior to the postauricular sulcus.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Hearing Preservation after Lateral Temporal Bone Resection for Early-Stage External Auditory Canal Carcinoma

Morita

Nakamaru²,

Homma³

et al. 2014

Audiol Neurotol

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Objective: To evaluate postoperative hearing outcomes after lateral temporal bone resection (LTBR) with reconstruction of the external auditory canal (EAC) and conductive function for early-stage EAC carcinoma. Methods: We retrospectively examined patients diagnosed with early-stage EAC carcinoma treated with surgery alone between January 2006 and December 2012. Patients who had postoperative adjuvant chemotherapy and/or radiotherapy were excluded. Patients receiving LTBR in combination with tympanoplasty were divided into two groups based on the reconstruction of the EAC with and without (w/o) split-thickness skin grafts (STSGs). Audiological data included the preoperative hearing thresholds and the most recent postoperative hearing thresholds obtained at least 12 months after surgery. The hearing outcome was evaluated based on pure-tone audiograms using the Committee on Hearing and Equilibrium guidelines of the American Academy of Otolaryngology-Head and Neck Surgery for the evaluation of the results of treatment of conductive hearing loss. The postoperative quality of life (QOL) for patients was evaluated using the Glasgow Benefit Inventory (GBI). Results: All patients (n = 15) achieved disease-free survival without significant morbidity or mortality. When we compared the mean air-bone gaps after surgery, those in the STSG group (n = 8) were found to be significantly lower than those in the w/o STSG group (n = 7; p < 0.001). The success rate for postoperative hearing was 75.0% in the STSG group, which was significantly higher than that in the w/o STSG group (p = 0.014). All patients in the w/o STSG group showed stenosis and closure of the EAC at fewer than 10 months after surgery. In contrast, all patients in the STSG group showed preserved conformation of the new EAC for more than 12 months after surgery. When we compared the mean GBI score between the two groups of patients, the overall and general health scores in the STSG group were found to be significantly higher than those in the w/o STSG group (p = 0.021, p = 0.001). Conclusions: Reconstruction of the EAC using a rolled-up STSG technique in combination with tympanoplasty after LTBR is useful for hearing preservation and the observation of locoregional lesions after surgery, resulting in improved QOL for patients. i 2014 S. Karger AG, Basel

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Carcinoma of the Temporal Bone

Cited by 7 publications

References 20 publications

Squamous Cell Carcinoma of the External Auditory Canal and Middle Ear: An Operation Combined with Preoperative Chemoradiotherapy and a Free Surgical Margin

Squamous Cell Carcinoma of the External Auditory Canal and Middle Ear: An Operation Combined with Preoperative Chemoradiotherapy and a Free Surgical Margin

Persistent otorrhoea with an abnormal tympanic membrane secondary to squamous cell carcinoma of the tympanic membrane

Hearing Preservation after Lateral Temporal Bone Resection for Early-Stage External Auditory Canal Carcinoma

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