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Intracranial complications of temporal bone osteoradionecrosis
J P Leonetti1, T Origitano, D Anderson
1Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, Maywood, IL 60153, USA.
Objective:
To present four cases of life-threatening intracranial complications associated with temporal bone osteoradionecrosis.
Study Design:
This study was a retrospective case review of four patients combined with a literature review.
Setting:
All patients were treated at Loyola University Medical Center, which is a tertiary care facility.
Patients:
The four patients were retrospectively reviewed without demographic constraints.
Interventions:
All patients underwent preoperative radiographic assessment (magnetic resonance imaging/computed tomography scan), and three of the four patients underwent surgery.
Main Outcome Measure:
The role of surgical intervention in the management of advanced temporal bone osteoradionecrosis.
Results:
Three patients underwent mastoid surgery after medical treatment of intracranial complications associated with temporal bone osteoradionecrosis. All three patients had dry, epithelialized mastoid cavities. One patient died as a result of meningitis.
Conclusions:
Mastoid surgery should be used in the overall management of patients with advanced temporal bone osteoradionecrosis to prevent secondary intracranial complications.