Abstract
Lateral temporal bone resection is the workhorse procedure to remove tumors that involve the ear canal and temporal bone. The indications for this procedure are enumerated. The goal is complete en bloc resection of the ear canal along with the disease within it. The steps for this procedure are illustrated and discussed. The facial nerve is decompressed and dissected. The rationale for facial nerve sacrifice is given. Reconstructive techniques are outlined. The inner ear is spared, and patients are good candidates for hearing rehabilitation using an osseointegrated implant. Complications and postoperative management are highlighted.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Moody SA, Hirsch BE, Myers EN. Squamous cell carcinoma of the external auditory canal: an evaluation of a staging system. Am J Otol. 2000;21(4):582–8.
Moore MG, Deschler DG, McKenna MJ, Varvares MA, Lin DT. Management outcomes following lateral temporal bone resection for ear and temporal bone malignancies. Otolaryngol Head Neck Surg. 2007;137(6):893–8.
Zhang T, Li W, Dai C, Chi F, Wang S, Wang Z. Evidence-based surgical management of T1 or T2 temporal bone malignancies. Laryngoscope. 2013;123(1):244–8.
Medina JE, Park AO, Neely JG, Britton BH. Lateral temporal bone resections. Am J Surg. 1990;160(4):427–33.
Gacek RR, Goodman M. Management of malignancy of the temporal bone. Laryngoscope. 1977;87(10 Pt 1):1622–34.
Arriaga M, Curtin H, Takahashi H, Hirsch BE, Kamerer DB. Staging proposal for external auditory meatus carcinoma based on preoperative clinical examination and computed tomography findings. Ann Otol Rhinol Laryngol. 1990;99(9 Pt 1):714–21.
Moffat DA, Wagstaff SA, Hardy DG. The outcome of radical surgery and postoperative radiotherapy for squamous carcinoma of the temporal bone. Laryngoscope. 2005;115(2):341–7.
Leong SC, Youssef A, Lesser TH. Squamous cell carcinoma of the temporal bone: outcomes of radical surgery and postoperative radiotherapy. Laryngoscope. 2013;123(10):2442–8.
Leonetti JP, Benscoter BJ, Marzo SJ, Borrowdale RW, Pontikis GC. Preauricular infratemporal fossa approach for advanced malignant parotid tumors. Laryngoscope. 2012;122(9):1949–53.
Wax MK, Kaylie DM. Does a positive neural margin affect outcome in facial nerve grafting? Head Neck. 2007;29(6):546–9.
Nader ME, Beadle BM, Roberts DB, Gidley PW. Outcomes and complications of osseointegrated hearing aids in irradiated temporal bones. Laryngoscope. 2016;126(5):1187–92.
Renton JP, Wetmore SJ. Split-thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection. Otolaryngol Head Neck Surg. 2006;135(3):387–91.
Morita S, Nakamaru Y, Homma A, Sakashita T, Masuya M, Fukuda S. Hearing preservation after lateral temporal bone resection for early-stage external auditory canal carcinoma. Audiol Neurootol. 2014;19(6):351–7.
Nadol JB Jr, Schuknecht HF. Obliteration of the mastoid in the treatment of tumors of the temporal bone. Ann Otol Rhinol Laryngol. 1984;93(1 Pt 1):6–12.
Masterson L, Rouhani M, Donnelly NP, Tysome JR, Patel P, Jefferies SJ, et al. Squamous cell carcinoma of the temporal bone: clinical outcomes from radical surgery and postoperative radiotherapy. Otol Neurotol. 2014;35(3):501–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Gidley, P.W. (2018). Lateral Temporal Bone Resection. In: Gidley, P., DeMonte, F. (eds) Temporal Bone Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-74539-8_17
Download citation
DOI: https://doi.org/10.1007/978-3-319-74539-8_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74538-1
Online ISBN: 978-3-319-74539-8
eBook Packages: MedicineMedicine (R0)