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Cranial Bones: Lateral View

Cranial Bones: Lateral View

The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...

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Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study

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Temporal bone resection for lateral skull-base malignancies.

Gautam U Mehta¹, Thomas J Muelleman², Derald E Brackmann²

¹Division of Neurosurgery, House Institute, 2100 West 3rd Street, Ste 111, Los Angeles, CA, USA. gmehta39@gmail.com.

Journal of Neuro-Oncology

|February 29, 2020

Summary

This summary is machine-generated.

Temporal bone resection is a key surgical treatment for temporal bone cancers. This procedure, along with considering neurovascular structures and potential adjunctive surgeries, is vital for managing lateral skull base malignancies.

Keywords:

Facial nerve Lateral skull base Malignancy Temporal bone resection

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Area of Science:

Oncology
Surgical Oncology
Otolaryngology

Background:

Malignancies of the temporal bone are increasing in incidence.
The complex anatomical location necessitates specialized, multidisciplinary care.
Involvement of lateral skull base and neurovascular structures is common.

Purpose of the Study:

To review general principles of temporal bone resection.
To discuss alternative and complementary surgical approaches for temporal bone cancer.
To guide the management of patients with temporal bone malignancies.

Main Methods:

Comprehensive literature review on temporal bone resection.

Main Results:

Temporal bone resection is the primary surgical strategy for temporal bone malignancies.
Resection can range from lateral to subtotal or total, depending on tumor extent.
Surgical planning must address adjacent neurovascular structures (facial nerve, carotid artery, jugular bulb/sigmoid sinus).
Parotidectomy and neck dissection may be necessary based on tumor stage.

Conclusions:

Temporal bone resection is crucial for treating lateral skull base malignancies.
This surgical technique should be part of a multidisciplinary cancer management approach.