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Lateral temporal bone resections.

J E Medina1, A O Park, J G Neely

  • 1Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, Oklahoma City 73190.

American Journal of Surgery
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

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Lateral temporal bone resection effectively treats advanced ear and parotid tumors. This surgical approach offers low morbidity and high local control rates for selected malignant conditions.

Area of Science:

  • Otolaryngology
  • Surgical Oncology

Background:

  • Lateral temporal bone resection is a surgical technique used for tumors of the external ear and parotid.
  • Tumors in these areas can be advanced or recurrent, requiring specialized surgical management.

Purpose of the Study:

  • To analyze the outcomes of lateral temporal bone resections for tumors of the auricle, external auditory canal, periauricular skin, or parotid.
  • To categorize and evaluate different types of lateral temporal bone resections.

Main Methods:

  • Retrospective analysis of 18 consecutive patients who underwent lateral temporal bone resection.
  • Classification of surgical techniques into four distinct types based on the extent of resection.

Main Results:

  • Four types of lateral temporal bone resections were defined, ranging in scope from limited to extensive removal of temporal bone structures.

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  • Appropriate application of these techniques enabled adequate surgical treatment for selected advanced and recurrent malignant tumors.
  • The study reported low morbidity and a high probability of local regional control.

    • Conclusions:

    • Lateral temporal bone resection is a viable surgical option for specific advanced and recurrent malignant tumors of the external ear, periauricular skin, and parotid.
    • The classification provides a framework for understanding and applying different resection techniques.
    • This approach can achieve successful oncological outcomes with acceptable patient morbidity.