Skip to main content
SpringerLink
Log in
Book cover

Management of Extended Parotid Tumors pp 65–74Cite as

Parotid Tumors Extended to the Skull Base

  • Chapter
  • First Online:

  • 795 Accesses

Abstract

Cranial involvement in parotid malignancies is rare and more common for certain types of tumors (e.g., adenoid cystic carcinoma). The spread of the parotid tumor to the skull base and intracranial may happen either by direct extension of the tumor and erosion of the bone or through perineural and endoneural invasion. Consequently, the clinical picture has the potential of becoming very complex (depending on the skull base and intracranial structures involved), and the management has to include a thorough neurosurgical assessment and interventional planning. These tumors pose particular management challenges due to their relative rarity and the lack of a unified extended experience, deep location, close proximity to critical neurovascular structures, and the extension beyond classical anatomic, surgical, and specialty landmarks. The outcome in the management of this particular type of tumors is improved significantly when their treatment is thought and carried out in a multidisciplinary fashion, using the knowledge and the therapeutical resources of various medical, surgical, and radiotherapy specialists. In this chapter we overview the patterns of skull involvement of parotid tumors and the clinical manifestations of cranial extension, and we look at the particularities of imaging and surgical planning and principles in this event.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Speight PM, Barrett AW. Salivary gland tumours. Oral Dis. 2002;8(5):229–40.

    Article  CAS  PubMed  Google Scholar 

  2. Wahlberg P, Möller T, Perfekt R. Carcinoma of the parotid and submandibular glands – a study of survival in 2465 patients. Oral Oncol. 2002;38(7):706–13.

    Article  PubMed  Google Scholar 

  3. Harrison LB, Sessions RB, Hong WK, editors. Head and neck cancer: a multidisciplinary approach, vol. 1. 3rd ed. Philadelphia: Lippincott Williams and Wilkins; 2009. p. 1002.

    Google Scholar 

  4. Lalwani AK. Current diagnosis and treatment in otolaryngology: head and neck surgery. New York: McGraw-Hill; 2008.

    Google Scholar 

  5. Laine FJ, Braun IF, Jensen ME, Nadel L, Som PM. Perineural tumor extension through the foramen ovale: evaluation with MR imaging. Radiology. 1990;174:65–71.

    Article  CAS  PubMed  Google Scholar 

  6. Erba SM, Horton JA, Latchaw RE, Yonas H, Sekhar L, Schramm V, et al. Balloon test occlusion of the internal carotid artery with stable xenon/CT cerebral blood flow imaging. AJNR. 1988;9:533–8.

    CAS  PubMed  Google Scholar 

  7. Eskridge JM. Xenon-enhanced CT: past and present. AJNR. 1994;15:845–6.

    CAS  PubMed  Google Scholar 

  8. Gonzalez CF, Moret J. Balloon occlusion of the carotid artery prior to surgery for neck tumors. AJNR. 1990;11:649–52.

    CAS  PubMed  Google Scholar 

  9. Goodwin WJ, Jesse RH. Malignant neoplasms of the external auditory canal and temporal bone. Arch Otolaryngol. 1980;106:675–9.

    Article  CAS  PubMed  Google Scholar 

  10. Lorberboym M, Pandit N, Machac J, Holan V, Sacher M, Segal D, et al. Brain perfusion imaging during preoperative temporary balloon occlusion of the internal carotid artery. J Nucl Med. 1996;37:415–9.

    CAS  PubMed  Google Scholar 

  11. Boland J, Paterson R. Cancer of the middle ear and external auditory meatus. J Laryngol Otol. 1955;69:468–78.

    Article  CAS  PubMed  Google Scholar 

  12. Ward GE, Loch WE, Lawrence Jr W. Radical operation for carcinoma of the external auditory canal and middle ear. Am J Surg. 1951;82:169–78.

    Article  CAS  PubMed  Google Scholar 

  13. Manolidis S, Pappas Jr D, Von Doersten P, Jackson CG, Glasscock 3rd ME. Temporal bone and lateral skull base malignancy: experience and results with 81 patients. Am J Otol. 1998;19 Suppl 6:S1–15.

    CAS  PubMed  Google Scholar 

  14. Lewis JS. Temporal bone resection. Review of 100 cases. Arch Otolaryngol. 1975;101:23–5.

    Article  CAS  PubMed  Google Scholar 

  15. de Vries EJ, Sekhar LN, Horton JA, Eibling DE, Janecka IP, Schramm Jr VL, et al. A new method to predict safe resection of the internal carotid artery. Laryngoscope. 1990;100:85–8.

    Article  PubMed  Google Scholar 

  16. Barrs DM. Temporal bone carcinoma. Otolaryngol Clin North Am. 2001;34:1197–218.

    Article  CAS  PubMed  Google Scholar 

  17. Spector JG. Management of temporal bone carcinomas: a therapeutic analysis of two groups of patients and long-term follow-up. Otolaryngol Head Neck Surg. 1991;104:58–66.

    Article  CAS  PubMed  Google Scholar 

  18. Kartush JM, Bouchard KR. Intraoperative facial nerve monitoring: otology, neurotology, and skull base surgery. In: Kartush JM, Bouchard KR, editors. Neuromonitoring in otology and head and neck surgery. New York: Raven Press; 1992. p. 99–120.

    Google Scholar 

  19. Prasad S, Janecka IP. Efficacy of surgical treatments for squamous cell carcinoma of the temporal bone: a literature review. Otolaryngol Head Neck Surg. 1994;110:270–80.

    Article  CAS  PubMed  Google Scholar 

  20. Pensak ML, Gleich LL, Gluckman JL, Shumrick KA. Temporal bone carcinoma: contemporary perspectives in the skull base surgical era. Laryngoscope. 1996;106:1234–7.

    Article  CAS  PubMed  Google Scholar 

  21. Raveh J, Laedrach K, Speiser M, Chen J, Vuillemin T, Seiler R, et al. The subcranial approach for fronto-orbital and anteroposterior skull-base tumors. Arch Otolaryngol Head Neck Surg. 1993;119:385–93.

    Article  CAS  PubMed  Google Scholar 

  22. Sekhar LN, Nanda A, Sen CN, Snyderman CN, Janecka IP. The extended frontal approach to tumors of the anterior, middle, and posterior skull base. J Neurosurg. 1992;76:198–206.

    Article  CAS  PubMed  Google Scholar 

  23. Lund VJ, Howard DJ, Wei WI, Cheesman AD. Craniofacial resection for tumors of the nasal cavity and paranasal sinuses—a 17-year experience. Head Neck. 1998;20:97–105.

    Article  CAS  PubMed  Google Scholar 

  24. Shah JP, Kraus DH, Bilsky MH, Gutin PH, Harrison LH, Strong EW. Craniofacial resection for malignant tumors involving the anterior skull base. Arch Otolaryngol Head Neck Surg. 1997;123:1312–7.

    Article  CAS  PubMed  Google Scholar 

  25. Lanser MJ, Jackler RK, Yingling CD. Regional monitoring of lower (ninth through twelfth) cranial nerves. In: Kartush JM, Bouchard KR, editors. Neuromonitoring in otology and head and neck surgery. New York: Raven Press; 1992. p. 131–50.

    Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, “Prof. Dr. Nicolae Oblu” Clinical Emergency Hospital, Iasi, Romania

    Bogdan F. Iliescu MD, PhD

  2. Department of Neurosurgery, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania

    Ion Poeata MD, PhD

Authors
  1. Bogdan F. Iliescu MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ion Poeata MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Bogdan F. Iliescu MD, PhD .

Editor information

Editors and Affiliations

  1. University of Medicine and Pharmacy, Iasi, Romania

    Victor-Vlad Costan

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Iliescu, B.F., Poeata, I. (2016). Parotid Tumors Extended to the Skull Base. In: Costan, VV. (eds) Management of Extended Parotid Tumors. Springer, Cham. https://doi.org/10.1007/978-3-319-26545-2_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26545-2_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26543-8

  • Online ISBN: 978-3-319-26545-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation