Abstract
The temporal bone is one of the more complex structures at the skull base that houses the hearing and vestibular organs, numerous nerves, and vessels. A host of inflammatory and neoplastic processes can occur within the temporal bone that often necessitate permanent and frozen section pathologic examination. A number of simple to complex surgical procedures are used to manage temporal bone pathology. This chapter will provide a brief overview of normal temporal bone anatomy, common surgical approaches, normal histology, and indications for pathologic examination.
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Barrow HN, Levenson MJ. Necrotizing ‘malignant’ external otitis caused by Staphylococcus epidermidis. Arch Otolaryngol Head Neck Surg. 1992;118(1):94–6.
Kwong Y, Yu D, Shah J. Fracture mimics on temporal bone CT: a guide for the radiologist. Am J Roentgenol. 2012;199(2):428–34.
Lim DJ. Structure and function of the tympanic membrane: a review. Acta Otorhinolaryngol Belg. 1995;49(2):101–15.
Tarabichi M, Marchioni D, Presutti L, Nogueira JF, Pothier D. Endoscopic transcanal ear anatomy and dissection. Otolaryngol Clin N Am. 2013;46(2):131–54.
Marchioni D, Alicandri-Ciufelli M, Molteni G, Artioli FL, Genovese E, Presutti L. Selective epitympanic dysventilation syndrome. Laryngoscope 2010;120(5):1028–33.
Wick CC, Hansen AR, Kutz JW Jr, Isaacson B. Endoscopic infracochlear approach for drainage of petrous apex cholesterol granulomas: a case series. Otol Neurotol. 2017;38(6):876–81.
Jufas N, Marchioni D, Tarabichi M, Patel N. Endoscopic anatomy of the protympanum. Otolaryngol Clin N Am. 2016;49(5):1107–19.
Isaacson B, Kutz JW, Roland PS. Lesions of the petrous apex: diagnosis and management. Otolaryngol Clin N Am. 2007;40(3):479–519.
Anzola JF, Nogueira JF. Endoscopic techniques in tympanoplasty. Otolaryngol Clin N Am. 2016;49(5):1253–64.
Wick CC, Arnaoutakis D, Kaul VF, Isaacson B. Endoscopic lateral cartilage graft tympanoplasty. Otolaryngol Head Neck Surg. 2017;157(4):683–9.
Yawn RJ, Hunter JB, O’Connell BP, et al. Audiometric outcomes following endoscopic ossicular chain reconstruction. Otol Neurotol. 2017;38(9):1296–300.
Isaacson B, Hunter JB, Rivas A. Endoscopic stapes surgery. Otolaryngol Clin N Am. 2018;15:415–28.
Kircher ML, Thottam PJ, Bojrab DI, Babu SC. Utility and cost analysis of cholesteatoma histopathologic evaluation. Laryngoscope 2014;124(2):538–40.
Ferlito A. A review of the definition, terminology and pathology of aural cholesteatoma. J Laryngol Otol. 1993;107(6):483–8.
Killeen DE, Wick CC, Hunter JB, et al. Endoscopic management of middle ear paragangliomas: a case series. Otol Neurotol. 2017;38(3):408–15.
Wick CC, Manzoor NF, Semaan MT, Megerian CA. Endolymphatic sac tumors. Otolaryngol Clin N Am. 2015;48(2):317–30.
Sozen E, Ucal YO, Kabukcuoglu F, Celebi I, Dadas B. An incidental middle-ear mass: Jacobson’s nerve schwannoma. Otol Neurotol. 2012;33(5):e37–8.
McRackan TR, Wilkinson EP, Rivas A. Primary tumors of the facial nerve. Otolaryngol Clin N Am. 2015;48(3):491–500.
Goycoolea MV. Mastoid and tympanomastoid procedures in otitis media: classic mastoidectomy (simple, modified, and radical) and current adaptations; open-cavity, closed-cavity, and intact-bridge tympanomastoidectomy. Otolaryngol Clin N Am. 1999;32(3):513–23.
Vercruysse JP, van Dinther JJ, De Foer B, et al. Long-term results of troublesome CWD cavity reconstruction by mastoid and epitympanic bony obliteration (CWR-BOT) in adults. Otol Neurotol. 2016;37(6):698–703.
Gidley PW. Managing malignancies of the external auditory canal. Expert Rev Anticancer Ther. 2009;9(9):1277–82.
Breen JT, Roberts DB, Gidley PW. Basal cell carcinoma of the temporal bone and external auditory canal. Laryngoscope 2017. https://doi.org/10.1002/lary.26785.
Carlson ML, O’Connell BP, Breen JT, et al. Petroclival chondrosarcoma: a multicenter review of 55 cases and new staging system. Otol Neurotol. 2016;37(7):940–50.
Blyth CC, Gomes L, Sorrell TC, da Cruz M, Sud A, Chen SC. Skull-base osteomyelitis: fungal vs. bacterial infection. Clin Microbiol Infect. 2011;17(2):306–11.
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Brandon Isaacson, MD, FACS declares that he has the following conflicts of interest. Advisory Boards: Med-el, Advanced Bionics. Consultant: Karl Storz Endoscopy, Olympus, Medtronic, Stryker.
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Isaacson, B. Anatomy and Surgical Approach of the Ear and Temporal Bone. Head and Neck Pathol 12, 321–327 (2018). https://doi.org/10.1007/s12105-018-0926-2
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DOI: https://doi.org/10.1007/s12105-018-0926-2