Reconstruction of Lateral Skull Base Defects after Combined Parotidectomy and Temporal Bone Resection for Malignancy

2009 ◽  
Vol 119 (S1) ◽  
pp. S77-S77 ◽  
Author(s):  
Zoukaa B. Sargi ◽  
Robert C. Gerring ◽  
Adrien Eshraghi ◽  
David J. Arnold ◽  
Francisco J. Civantos ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Bone Resection ◽  
Lateral Skull Base ◽  
Temporal Bone Resection ◽  
Skull Base Defects

Reconstruction of Lateral Skull Base Defects after Combined Parotidectomy and Temporal Bone Resection for Advanced Malignancy

Skull Base ◽  
2011 ◽  
Vol 21 (S 01) ◽  
Author(s):  
Zoukaa Sargi ◽  
Robert Gerring ◽  
Adrien Eshraghi ◽  
David Arnold ◽  
Francisco Civantos ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Bone Resection ◽  
Advanced Malignancy ◽  
Lateral Skull Base ◽  
Temporal Bone Resection ◽  
Skull Base Defects

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
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Survival Outcomes ◽  
Skull Base Tumors ◽  
Bone Resection ◽  
Lateral Skull Base ◽  
Temporal Bone Resection

Temporal bone resection for lateral skull-base malignancies

2020 ◽  
Vol 150 (3) ◽  
pp. 437-444
Author(s):  
Gautam U. Mehta ◽  
Thomas J. Muelleman ◽  
Derald E. Brackmann ◽  
Paul W. Gidley
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Bone Resection ◽  
Lateral Skull Base ◽  
Temporal Bone Resection

The Surgical Management of Temporal Bone and Lateral Skull Base Defects

2016 ◽  
Vol 77 (S 02) ◽  
Author(s):  
Hannah North ◽  
Simon Freeman ◽  
Scott Rutherford ◽  
Andrew King ◽  
Chorlatte Hammerbeck-Ward ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Surgical Management ◽  
Lateral Skull Base ◽  
Skull Base Defects

Long-term outcome following radical temporal bone resection for lateral skull base malignancies: a neurosurgical perspective

2008 ◽  
Vol 108 (3) ◽  
pp. 501-510 ◽  
Author(s):  
Nobutaka Kawahara ◽  
Tomio Sasaki ◽  
Takahiro Asakage ◽  
Kazunari Nakao ◽  
Masashi Sugasawa ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Survival Rates ◽  
Surgical Margin ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Bone Resection ◽  
En Bloc ◽  
Temporal Bone Resection

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.

Surgical Treatment of Skull-Base Malignancy

1984 ◽  
Vol 92 (1) ◽  
pp. 94-99 ◽  
Author(s):  
Sam E. Kinney ◽  
Benjamin G. Wood
Keyword(s):  
Surgical Treatment ◽  
Skull Base ◽  
Temporal Bone ◽  
Surgical Resection ◽  
Survival Rates ◽  
Surgical Approaches ◽  
Bone Resection ◽  
En Bloc ◽  
Temporal Bone Surgery ◽  
Temporal Bone Resection

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.

scholarly journals Anterolateral thigh free flap in reconstruction of lateral skull base defects after oncological resection

2019 ◽  
Vol 276 (12) ◽  
pp. 3487-3494 ◽  
Author(s):  
Piotr Trojanowski ◽  
Marcin Szymański ◽  
Agnieszka Trojanowska ◽  
Adrian Andrzejczak ◽  
Dariusz Szczepanek ◽  
...  
Keyword(s):  
Skull Base ◽  
Temporal Bone ◽  
Free Flap ◽  
Anterolateral Thigh Flap ◽  
Petrous Apex ◽  
Recipient Site ◽  
Lateral Skull Base ◽  
Anterolateral Thigh ◽  
Skull Base Defects ◽  
Alt Flap

Abstract Purpose Evaluation of the utility of the free anterolateral thigh flap reconstruction of the defects resulting from radical temporal bone resection in the management of lateral skull base malignancies in a single institution. Methods An analysis of 17 en bloc subtotal petrosectomies for removal of malignant tumours was performed. There were 12 squamous cell carcinomas, 4 basal cell carcinomas and 1 adenoid cystic carcinoma. The tumours were staged with the University of Pittsburgh TNM system. In all patients, the lateral temporal bone with the preservation of the petrous apex and carotid artery was performed. All patients had parotid gland resection. The post-resection defect was reconstructed with an ALT free flap. Results Tumour radical resection and defect reconstruction with an ALT flap was achieved in all patients without intraoperative complications. The transplants were harvested as fasciocutaneous flaps, 11 perfused by musculocutaneous and 6 by septocutaneous perforators. The ALT flaps had a mean pedicle length of 8 cm (6–12 cm), and the flap size ranged between 6 × 15 cm and 15 × 30 cm. The flaps were supplied by nine facial, five occipital and three maxillary arteries. Recipient-site veins included eight internal jugular, seven facial, one retromandibular and one external jugular vein. All arterial pedicles were anastomosed in an end-to-end manner. The veins were anastomosed with interrupted sutures and in 11 cases with Synovis-Coupler® devices. All the flap transfers were performed successfully. Three patients experienced postoperative complications. Conclusions The ALT flap proved to be effective for covering large temporal skull base defects resulting from the radical removal of temporal bone malignancies. The functional and cosmetic results were acceptable with a low complication rate.

scholarly journals Parotid and Temporal Bone Resection for Skull Base Malignancies: Outcome

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

scholarly journals Factors and Outcomes Associated With Temporal Bone Resection for Primary Parotid Malignancy

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