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Advances in the diagnosis and management of neoplasms of the skull base

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Head and Neck Oncology

Part of the book series: Cancer Treatment and Research ((CTAR,volume 22))

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Abstract

Both benign and malignant lesions involving the skull base occur in one of the most inaccessible areas of the body. Furthermore, surgical resections in this area have been limited by the critical structures located at the skull base and the severity of complications risked with surgery in this area. While neurosurgeons, head and neck oncologic surgeons, and otologists all have their own approach to the skull base, it was not until fifteen years ago that a systematic interdisciplinary surgical approach to the skull base emerged. Essential to the development of these approaches were recent technical advances in preoperative diagnostic evaluation and surgical equipment. Accurate determination of tumor extent through advances in polytomography and computerized axial tomogram scanning has enabled careful patient selection and surgical planning. The surgical endeavor has been made more efficient by the use of the operating microscope and the air drill with constant water suction irrigation.

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References

  1. Cushing H: Tumors of the Nervus Acosticus and the Syndrome of the Cerebellopontine Angle. W.B. Saunders CO, Philadelphia, 1917.

    Google Scholar 

  2. Bucy PC: Tumors of the cerebellopontine angle. Arch Otolaryngol, 73: 29–36, 1961.

    Google Scholar 

  3. Eggermont JJ, Don M, Brackmann DE: Electrocochleography and auditory brain stem electric responses in patients with cerebellopontine angle tumors.

    Google Scholar 

  4. Clemis JC, McGee T: Brain stem electric response audiometry in the differential diagnosis of acoustic tumors. Laryngoscope 89: 31–42, 1979.

    Article  PubMed  CAS  Google Scholar 

  5. Selters WA: Acoustic tumor detection with brain stem electric response audiometry. Arch Otolaryngol 103: 181–187, 1977.

    PubMed  CAS  Google Scholar 

  6. Glasscock ME, Jackson CG, Josey AF, et al.: Brain stem evoked response audiometry in a clinical practice. Laryngoscope 89: 1021–1035, 1979.

    PubMed  Google Scholar 

  7. Linthicum FH Jr, Churchill D: Vestibular test results in acoustic tumor cases. Arch Otolaryngol 88: 56–59, 1968.

    Google Scholar 

  8. Glasscock ME, III, Overfield RE, Miller GW: Polytomograph in an otologic practice. Southern Medical Journal 69: 1433–1437, 1976.

    Article  PubMed  Google Scholar 

  9. Crabtree and Gardner: Radiographic findings in cerebellopontine angle tumors. In: House, Luette (eds) Acoustic Tumor, Vol I: Diagnosis. University Park Press, PP 241–251.

    Google Scholar 

  10. Scanlan RL: Positive contrast medium (Iophendylate) in diagnosis of acoustic neuroma. Arch Otolarngol 89.

    Google Scholar 

  11. Kricheff II, Pinto RS, Bergeron RT, Cohen N: Air-CT Cisernography and canalography for small acoustic neuromas. AJNR 1: 57–63, 1980.

    PubMed  CAS  Google Scholar 

  12. House WF: Acoustic Neuroma. Arch Otolaryngol (Mongraph II) 88: 575–715, 1968.

    Google Scholar 

  13. Glasscock ME, III, Hayes JW: The translabyrinthine removal of acoustic and other cerebellopontine angle tumors. Arch Otolaryngol 82: 415–427, 1973.

    Google Scholar 

  14. Domb GH, Chole RA: Anatomical studies of the posterior petrous apex with regard to hearing preservation in acoustic neuroma removal. Laryngoscope 90: 1769–1776, 1980.

    Article  PubMed  CAS  Google Scholar 

  15. House FW: Middle cranial fossa approach to the petrous pyramid. Arch Otolaryngol 78: 460–46, 1963.

    PubMed  CAS  Google Scholar 

  16. Glasscock ME, III, Hays JW, Miller GW, et al.: Preservation of hearing in tumors of the internal auditory canal and cerebellopontine angle. Laryngoscope 88: 43–55, 1978.

    PubMed  Google Scholar 

  17. House WF: Partial tumor removal and recurrence in acoustic tumor surgery. Arch Otolaryngol 88éé-654, 1968.

    Google Scholar 

  18. Glasscock ME, III, Hays JW, Jackson CG, et al.: A one-stage combined approach for the management of large cerebellopontine angle tumors. Laryngoscope 88: 1563–1575, 1978.

    PubMed  Google Scholar 

  19. Linthicum FH jr, Brackmann DE: Bilateral acoustic tumors. Arch Otolaryngol 106: 729–733, 1980.

    PubMed  Google Scholar 

  20. Hittselberger WE, Hughes RL: Bilateral acoustic tumors and neurofibromatosis. Arch Otolaryngol 88: 152–163, 1968.

    Google Scholar 

  21. Alford BR, Guilford FR: A Comprehensive study of tumors of the glomus jugulare. Laryngoscope 765–787, Jan 1962.

    Google Scholar 

  22. Guild SR: The glomus jugulare, a nonchromaffin paraganglion, in man. Ann Otol 62: 1045–1071, 1953.

    CAS  Google Scholar 

  23. Rosenwasser H: Cartoid body tumor of the middle ear and mastoid. Arch Otolaryngol 4: 64–67, 1945.

    Google Scholar 

  24. Spector GJ, Gado M, Ciralsky R, et al.: Neurologic implications of glomus tumors in the head and neck. Laryngoscope, 1387–1395, 1974.

    Google Scholar 

  25. Spector GJ, Ciralsky R, Maisel FH, et al.: Multiple glomus tumors in the head and neck, Laryngoscope 1066–1075, 1974.

    Google Scholar 

  26. Brown LA: Glomus jugulare tumor of the middle ear. Laryngoscope 63: 281–292, 1953.

    Article  PubMed  CAS  Google Scholar 

  27. House WF, Glasscock ME, III: Glomus tympanicum tumors. Arch Otolaryngol 87: 550–554, 1968.

    PubMed  CAS  Google Scholar 

  28. Shapiro MJ, Irvington NJ, Neues DK: Technique for removal of glomus jugulare tumors. Arch of Otolaryngol 79: 219–224, 1964.

    CAS  Google Scholar 

  29. Fisch U, Pillsbury HC: Intratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch of Otolaryngol 105: 99–107, 1979.

    CAS  Google Scholar 

  30. Glasscock ME, III, Harris PF, Newsome G: Glomus tumors: diagnosis and treatment. Laryngoscope 84: 2006–2032, 1974.

    Article  PubMed  Google Scholar 

  31. Mischke RE, Balkany TJ: Skull base approach to glomus jugulare. Laryngoscope 90: 89–93, 1980.

    Article  PubMed  CAS  Google Scholar 

  32. Hilding DA, Greenberg A: Surgery for large glomus jugulare tumor. Arch Otolaryngol 93: 227–231, 1971.

    PubMed  CAS  Google Scholar 

  33. Kinney SE: Glomus jugulare tumors with intracranial extension. Amer J of Otology 1: 67–71, 1979.

    CAS  Google Scholar 

  34. Brackmann DE, House WE, Tery R, et al.: Glomus jugulare tumors: effect of irradiation. Tr Am Acad Ophth & Otol 76: 1423–1431, 1972.

    CAS  Google Scholar 

  35. Silverstone SM: Radiation therapy of glomus jugulare tumors. Arch Otolaryngol 97: 43–48, 1973.

    PubMed  CAS  Google Scholar 

  36. Spector GJ, Maisel RH, Ogura JH: Glomus jugulare tumors, II: a cliniopathologic analysis of the effects of radiotherapy. Ann Otol 83: 26–32, 1974.

    CAS  Google Scholar 

  37. Gardner G, Cocke EW, Robertson JT, et al.: Combined approach surgery for removal of glomus jugulare tumors. Laryngoscope 87: 665–688, 1977.

    Article  PubMed  CAS  Google Scholar 

  38. Altmann F: Uber neurogene tumoren des absteigenden facialisteiles. Monatsschr f Ohrenh 69: 1032, Sept 1935.

    Google Scholar 

  39. Neely JG, Alfordo BR: Facial nerve neuromas. Arch Otolaryngol 100: 298–301, 1974.

    PubMed  CAS  Google Scholar 

  40. Pulec JL: Facial nerve neuroma, laryngoscope 82: 1160–1176, 1972.

    CAS  Google Scholar 

  41. Conley J, Janecka I: Schwann cell tumors of the facial nerve. Laryngoscope 84: 958–962, 1974.

    Article  PubMed  CAS  Google Scholar 

  42. Jackson CG, Glasscock ME, Hughes G, Sismanis A: Facial paralysis of neoplastic origin: diagnosis and management. Laryngoscope 90: 1581–1595, 1980.

    Article  PubMed  CAS  Google Scholar 

  43. Bailey CM, Graham MD: Intratemporal facial nerve neuroma: a discussion of five previously unpublished cases. J of Laryn & Otolog 97 (1): 65–72, Jan 1983.

    CAS  Google Scholar 

  44. May M, Hardin WB: Facial palsy: interpretation of neurologic findings. Trans Am Acad Ophthalmol Otolaryngol 84: 710–722, 1977.

    Google Scholar 

  45. Fisch U, Ruttner J: Pathology of intratemporal tumors involving the facial nerve. In: Fisch U (ed) Facial Nerve Surgery. Kugler Publ, BV, Amstelveen, The Netherlands and Aesculapius Publ Co, Birmingham, AL, 448–456, 1977.

    Google Scholar 

  46. Pulec JL: Facial nerve tumors. Ann Otol 78: 962–982, 1969.

    CAS  Google Scholar 

  47. Cawthorne T: Intratemporal facial palsy. Arch Otolaryngol 90: 789–799, 1969.

    PubMed  CAS  Google Scholar 

  48. Horn KL, Crumley RL, Schindler RA: Facial neurilemmomas. Laryngoscope 91: 1326–1331, 1981.

    Article  PubMed  CAS  Google Scholar 

  49. Graham MD: Surgical exposure of the facial nerve: contemporary transtemporal tecniques. Am J Otol 1: 137–146, 1980.

    PubMed  CAS  Google Scholar 

  50. House HP: An Apparent primary cholesteatoma: case report. Laryngoscope 63: 712–713, 1953.

    PubMed  CAS  Google Scholar 

  51. House JW, Sheehy JL: Cholesteatoma with intact tympanic membrane. Laryngoscope 90: 70–76, 1980.

    Article  PubMed  CAS  Google Scholar 

  52. Curtis AW: Congenital middle ear cholesteatoma: two unusual cases and a review of the literature. Laryngoscope 89: 1159–1165, 1979.

    Article  PubMed  CAS  Google Scholar 

  53. Peron DL, Schuknecht HF: Congenital cholesteatoma with other anomalies. Arch Otolaryngol 101: 498–505, 1975.

    PubMed  CAS  Google Scholar 

  54. Fisch U: Congenital cholesteatoma. Clin Otolaryngol 3: 369–376, 1978.

    Article  PubMed  CAS  Google Scholar 

  55. Nager GT: Epidermoid involving the temporal bone: clinical, radiological and pathological aspects. Laryngoscope 85: 1–21, 1975.

    Article  PubMed  CAS  Google Scholar 

  56. Bumsted R, Dolan K, Sade J, McCabe BF: Preservation of cochlear function after extensive labyrinthine destruction. Ann Otol 86: 131–137, 1977.

    CAS  Google Scholar 

  57. Thomsen J, Barfoed C, Fleckenstein P: Congenital cholesteatoma. J Laryngol and Otol 94: 263–268, 1980.

    CAS  Google Scholar 

  58. Olivecrona H: Cholesteatomas of the cerebellopontine angle. Acta Psychiat Et Neurol 24: 639–643, 1944.

    Article  Google Scholar 

  59. Gacek RR: Evaluation and management of primary petrous apex cholesteatoma. Otolaryn Head and Neck Surg 88: 519–523, 1980.

    CAS  Google Scholar 

  60. Housse WF, Doyle JB: Early diagnosis and removal of primary cholesteatoma causing pressure to the VIIIth nerve. Laryngoscope 00: 1053–1063, 1962.

    Google Scholar 

  61. Batsakis JG: Epidermal carcinomas of the integument of the nose and ear. In: Tumors of the Head and Neck, 2nd edn. Williams & Wilkins Co, pp 420–430, 1979.

    Google Scholar 

  62. Beal DD, Lindsay JR, Ward PH: Radiation-induced carcinoma of the mastoid. Arch Otolaryngol 81: 9, 1965.

    PubMed  CAS  Google Scholar 

  63. Graham MD: personal communication.

    Google Scholar 

  64. Johns ME, headington JT: Squamous cell carcinoma of the external auditory canal. Arch of Otolaryngol 10: 45–49, 1974.

    Google Scholar 

  65. Pulec JL: Glandular tumors of he external auditory canal. Laryngoscope 87: 161–1612, 1977.

    Article  Google Scholar 

  66. Conley JJ, Novack AJ: The surgical treatment of malignant tumors of the ear and temporal bone: Part I. Arch Otolaryngol 71: 635–652, 1960.

    CAS  Google Scholar 

  67. Ward GE, Loch WE, Lawrence W, Jr: Radical operation for carcinoma of the external auditory canal and middle ear. Am J Surg 82: 169–178, 1951.

    Article  PubMed  CAS  Google Scholar 

  68. Campbell E, Volk BM, Burkland CW: Total resection of temporal bone for malignancy of the middle ear. Ann Surg 134: 397–404, 1951.

    PubMed  CAS  Google Scholar 

  69. Parsons H, Lewis JS: Subtotal resection of the temporal bone for cancer of the ear. Cancer 7: 995–1001, 1954.

    Article  PubMed  CAS  Google Scholar 

  70. Arena S: Tumor surgery of the temporal bone. Laryngoscope 84: 645–670, 1974.

    Article  PubMed  CAS  Google Scholar 

  71. Gacek RR, Goodman M: Management of malignancy of the temporal bone. Laryngoscope 87: 1622–1634, 1977.

    Article  PubMed  CAS  Google Scholar 

  72. Neely JG, Forrester M: Anatomic considerations of the medial cuts in the subtotal temporal bone resection. Otolaryngol Head Neck Surg 90: 641–645, 1982.

    PubMed  CAS  Google Scholar 

  73. Fisch U, Pillsburg HC: Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol 105: 99–107, 1979.

    PubMed  CAS  Google Scholar 

  74. Hilding DA, Selker R: Total resection of the temporal bone for carcinoma. Arch Otolaryngol 89: 98–107, 1969.

    Google Scholar 

  75. Graham MD, Kemink JL, Sataloff RT, et al.: Total en bloc resection of the temporal bone and carotid artery for malignant tumors of the ear and temporal bone, in preparation.

    Google Scholar 

  76. Crabtree J A, Britton BH, Pierce MK: Carcinoma of the external auditory canal. Laryngoscope 86: 405–415, 1976.

    Article  PubMed  CAS  Google Scholar 

  77. Lewis JS: Squamous carcinoma of the ear. Arch Otolaryngol 97: 41–42, 1973.

    PubMed  CAS  Google Scholar 

  78. Baron SH: Herniation of the brain into the mastoid cavity. Arch Otolaryngol 90: 779–785.

    Google Scholar 

  79. Paparella MM, Meyerhoff WL, Oliviera CA: Mastoiditis and brain hernia (mastoiditis Cerebri). Laryngoscope 88: 1097–1106, 1978.

    PubMed  CAS  Google Scholar 

  80. Glasscock ME, Dickins JRE, Jackson CG, et al.: Surgical management of brain tissue herniation into the middle ear and mostoid. Laryngoscope 89: 1743–1754, 1979.

    PubMed  Google Scholar 

  81. Kamerer DB, Caparosa RJ: Temporal bone encephalocele: diagnosis and treatment. Laryngoscope 92: 878–882, 1982.

    Article  PubMed  CAS  Google Scholar 

  82. Schurr PH: Endaural cerebral hernia. Br J Surg 17: 414–417, 1960.

    Article  Google Scholar 

  83. Dysart BR: Spontaneous cerebrospinal otorrhea: Report of a case with successful surgical repair. Trans Am Laryngol Rhinol Soc 62: 381, 1959.

    Google Scholar 

  84. Mealy J Jr: Chronic cerebrospinal fluid otorrhea: report of a case associated with chronic infection of the ear. Neurology 11: 996–998, 1961.

    Google Scholar 

  85. Blatt IM: Surgical repair for cerebrospinal otorrhea due to middle ear and mastoid disease: report of six cases. Laryngoscope 73: 446–460, 1963.

    Article  PubMed  CAS  Google Scholar 

  86. Koch H: Meningocele of the temporal bone. Acta Otolaryngol (Stockh) 38: 59–62, 1950.

    Article  CAS  Google Scholar 

  87. Jahrsdoerfer RA, Richtsmeier WJ, Cantrell RW: Spontaneous CSF otorrhea. Arch Otolaryngol 107: 257–261, 1981.

    PubMed  CAS  Google Scholar 

  88. Neely JG, Neblett CR, Rose JE: Diagnosis and treatment of spontaneous cerebrospinal fluid otorrhea. Laryngoscope 92: 609–612, 1982.

    Article  PubMed  CAS  Google Scholar 

  89. Kraus EM, McCabe BF: The giant apical air cell syndrome. Ann Oto Rhinol Laryngol 91: 237–239, 1982.

    CAS  Google Scholar 

  90. Graham MD: personal communication.

    Google Scholar 

  91. Briant TDR, Bird R: Extracranial repair of cerebrospinal fluid fistula. J of Otolaryngol 11: 191–197, 1982.

    CAS  Google Scholar 

  92. Jahn AF: Endaural Brain hernia: repair using conchal cartilage. J of Otolaryngol 10: 471–475, 1981.

    CAS  Google Scholar 

  93. Hall GM, Pulec JL, Hallberg OE: Persistent cerebrospinal fluid otorrhea. Arch Otolaryngol 86: 43–47, 1967.

    Google Scholar 

  94. Fernandez-Blasini N, Longo R: Surgical correction of dural herniation into the mastoid cavity. Laryngoscope 88: 1841–1846, 1977.

    Google Scholar 

  95. Spetzler RF, Wilson CB: Management of recurrent CSF rhinorrhea of the middle and posterior fossa, J Neurosurgery 49: 393–397, 1978.

    Article  CAS  Google Scholar 

  96. Graham MD: Surgical management of dural and temporal lobe herniation into the radical mastoid cavity. Laryngoscope 92: 329–331, 1982.

    Article  PubMed  CAS  Google Scholar 

  97. Batsakis JG: Soft tissue tumors of the head and neck: unusual forms. In: Tumors of the Head and Neck, 2nd edn, pp 350–368, 1979.

    Google Scholar 

  98. Batsakis JG, Kittleson AC: Chordomas: otorhinolaryngologic presentation and diagnosis. Arch Otolaryngol 78: 168–175, 1963.

    PubMed  CAS  Google Scholar 

  99. Dahlin DC, MacCarty CS: Chordoma: a study of fifty-nine cases. Cancer 5: 1170–1178, 1952.

    Article  PubMed  CAS  Google Scholar 

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© 1984 Martinus Nijhoff Publishers, Boston

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Kemink, J.L., Graham, M.D. (1984). Advances in the diagnosis and management of neoplasms of the skull base. In: Wolf, G.T. (eds) Head and Neck Oncology. Cancer Treatment and Research, vol 22. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3816-1_3

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  • DOI: https://doi.org/10.1007/978-1-4613-3816-1_3

  • Publisher Name: Springer, Boston, MA

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