Survival outcomes of lateral skull base tumors following temporal bone resection

Head & Neck ◽  
2021 ◽  
Author(s):  
Neila L. Kline ◽  
Kavita Bhatnagar ◽  
David J. Eisenman ◽  
Rodney J. Taylor
Skull Base ◽  
2011 ◽  
Vol 21 (S 01) ◽  
Author(s):  
Zoukaa Sargi ◽  
Robert Gerring ◽  
Adrien Eshraghi ◽  
David Arnold ◽  
Francisco Civantos ◽  
...  

2009 ◽  
Vol 119 (S1) ◽  
pp. S77-S77 ◽  
Author(s):  
Zoukaa B. Sargi ◽  
Robert C. Gerring ◽  
Adrien Eshraghi ◽  
David J. Arnold ◽  
Francisco J. Civantos ◽  
...  

2020 ◽  
Vol 150 (3) ◽  
pp. 437-444
Author(s):  
Gautam U. Mehta ◽  
Thomas J. Muelleman ◽  
Derald E. Brackmann ◽  
Paul W. Gidley

2008 ◽  
Vol 108 (3) ◽  
pp. 501-510 ◽  
Author(s):  
Nobutaka Kawahara ◽  
Tomio Sasaki ◽  
Takahiro Asakage ◽  
Kazunari Nakao ◽  
Masashi Sugasawa ◽  
...  

Object Primary temporal bone malignancy is a rare form of tumor for which the therapeutic strategy remains controversial. In this study, the authors reviewed their experience with radical temporal bone resection (TBR) of such lesions and analyzed the long-term results to provide treatment recommendations. Methods Between 1994 and 2006, 17 patients (10 men and 7 women) underwent total or subtotal TBR for primary temporal bone malignancies. Tumors were graded according to the University of Pittsburgh system. The effects of surgical margins and tumor extensions on patient survival were analyzed using the Kaplan–Meier method. Results All tumors, except 1, were graded T4 (most advanced). Subtotal TBR was performed in 14 patients, and total TBR was performed in 3. The surgical margin was tumor negative in 10 patients and tumor positive in 7. For large tumors extending into the infratemporal fossa or encroaching on the jugular foramen, orbitozygomatic (3 patients) and posterior transjugular (4 patients) approaches were combined with the standard approach, and en bloc resection with a negative margin was achieved in all cases but 1. The follow-up time ranged from 0.3–11.6 years (mean 3.3 years). The 5-year recurrence-free and disease-specific survival rates were 67.5 and 60.1%, respectively. When a negative surgical margin was achieved, the survival rates improved to 100 and 89%, respectively. Conclusions The neurosurgical skull base technique could improve the probability of en bloc resection with a tumor-free margin for extensive temporal bone malignancies, which would cure a subset of patients. The active participation of neurosurgeons would improve patient care in this field.


1984 ◽  
Vol 92 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Sam E. Kinney ◽  
Benjamin G. Wood

Improved radiographic diagnosis and new surgical approaches make it possible to consider surgical treatment of skull-base malignancies. For many years treatment of external auditory canal and middle ear malignancies has involved subtotal or radical temporal bone surgery; these approaches and techniques will be discussed in detail, in our experience the need for radical temporal bone resection has changed considerably. Total tumor removal followed by radiation therapy seems to yield survival rates and relief of pain equal to formal temporal bone resection with the attendant complications. The new radio-diagnostic techniques, including high-resolution computerized tomographic scans and digital subtraction angiography, allow better assessment of skull-base lesions. If we can determine by computerized tomography that a skull-base malignancy is well defined and not extending into different areas, en bloc surgical resection might be indicated. Details of this radiologic evaluation will be presented along with some surgical approaches to lesions possibly amenable to surgical resection.


Skull Base ◽  
2010 ◽  
Vol 20 (03) ◽  
pp. 169-177 ◽  
Author(s):  
Zoukaa Sargi ◽  
Robert Gerring ◽  
Simon Angeli ◽  
David Arnold ◽  
Adrien Eshraghi ◽  
...  

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Hannah North ◽  
Simon Freeman ◽  
Scott Rutherford ◽  
Andrew King ◽  
Chorlatte Hammerbeck-Ward ◽  
...  

2021 ◽  
Author(s):  
Ved A. Tanavde ◽  
Joseph Broderick ◽  
Melina J. Windon ◽  
Carole Fakhry ◽  
Charles Matthew Stewart ◽  
...  

2007 ◽  
Vol 60 (6) ◽  
pp. 607-614 ◽  
Author(s):  
Marc D. Moncrieff ◽  
Stuart A. Hamilton ◽  
George H. Lamberty ◽  
Charles M. Malata ◽  
David G. Hardy ◽  
...  

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