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Temporal bone resection. Review of 100 cases.
Archives of Otolaryngology (Chicago, Ill. : 1960)
|January 1, 1975
Summary
Temporal bone resection for ear cancer offers a 27% five-year cure rate. This retrospective review of 100 cases highlights surgical techniques and complications, aiming to improve outcomes for this rare malignancy.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Cancer
Background:
- Temporal bone cancer is a rare malignancy requiring aggressive surgical management.
- Surgical resection of temporal bone tumors often involves extensive procedures with significant morbidity.
- Historically, outcomes for advanced temporal bone cancers have been challenging.
Purpose of the Study:
- To retrospectively review outcomes of temporal bone resection for cancer.
- To evaluate the five-year survival and cure rates for this patient cohort.
- To identify factors influencing complications and mortality in temporal bone cancer surgery.
Main Methods:
- Retrospective review of 100 cases undergoing temporal bone resection.
- Analysis of surgical techniques including subtotal resection of temporal bone structures and adjacent tissues.
- Inclusion of preoperative and/or postoperative radiation therapy in treatment protocols.
Main Results:
- Overall five-year cure rate was 27%; squamous carcinoma had a 25% cure rate.
- The procedure involves sacrifice of the facial nerve and hearing.
- Mortality rate decreased from 10% in 1954 to 5% due to advancements in anesthesia and surgical techniques.
Conclusions:
- Temporal bone resection is a viable, albeit morbid, option for managing ear cancer.
- Improvements in surgical adjuncts and perioperative care have reduced mortality.
- Further research is needed to enhance cure rates for temporal bone malignancies.