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Updated: Mar 7, 2026

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Multicenter experiences in temporal bone cancer surgery based on 89 cases.

Małgorzata Wierzbicka1, Kazimierz Niemczyk2, Antoni Bruzgielewicz2

  • 1ENT Department, Medical University, Poznań, Poland.

Plos One
|February 23, 2017
PubMed
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Extensive petrosectomy surgery offers effective treatment for temporal bone cancers. However, outcomes are negatively impacted by advanced tumor stage, incomplete resection, and delayed diagnosis, especially in younger patients.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Malignant invasion of the temporal bone presents a complex therapeutic challenge.
  • Early detection is often hindered by insidious symptoms, leading to delayed diagnosis and treatment.

Purpose of the Study:

  • To evaluate the outcomes of extensive surgical resections, including lateral, subtotal, and total petrosectomies.
  • To identify prognostic factors influencing survival in patients with temporal bone cancers.

Main Methods:

  • A retrospective case review of 89 patients with temporal bone cancer treated between 2006 and 2010.
  • Utilized a multidisciplinary team approach involving surgical resection, reconstruction, and adjuvant radiotherapy.
  • Assessed disease-specific and overall survival rates.

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Main Results:

  • The three-year disease-free survival rate was 38.0%, and overall survival was 58.7%.
  • Relapse occurred in 27.0% of patients, with a median survival of 12 months post-relapse.
  • Factors associated with poorer outcomes included high T grade, positive surgical margins, and salvage surgery.

Conclusions:

  • Petrosectomy is a viable treatment for malignant temporal bone invasion.
  • Younger age correlated with a better prognosis.
  • Improving early detection and reducing diagnostic delays are critical for better patient outcomes.