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Subtotal and Total Temporal Bone Resection

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Temporal Bone Cancer

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Abstract

Subtotal temporal bone resection (STBR) is required for tumors that involve the mastoid, middle ear, inner ear, or lateral skull base. Total temporal bone resection (TTBR) extends the dissection from the STBR so that the petrous apex is included. The indications and contraindications for these procedures are discussed. A multidisciplinary team for these procedures is emphasized. The critical steps of tumor resection are outlined and illustrated. Reconstruction usually involves a microvascular free flap, but abdominal fat graft and local flaps can be used in the appropriate circumstance. Postoperative management and complications are discussed. Postoperative radiotherapy is given to all patients.

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Author information

Authors and Affiliations

  1. Department of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Paul W. Gidley M.D., F.A.C.S.

  2. Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA

    Franco DeMonte M.D.

Authors
  1. Paul W. Gidley M.D., F.A.C.S.
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  2. Franco DeMonte M.D.
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Corresponding author

Correspondence to Paul W. Gidley M.D., F.A.C.S. .

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Editors and Affiliations

  1. Department of Head and Neck Surgery, Otology-Neurotology, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA

    Paul W. Gidley

  2. Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston, Texas, USA

    Franco DeMonte

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Gidley, P.W., DeMonte, F. (2018). Subtotal and Total Temporal Bone Resection. In: Gidley, P., DeMonte, F. (eds) Temporal Bone Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-74539-8_18

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  • DOI: https://doi.org/10.1007/978-3-319-74539-8_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74538-1

  • Online ISBN: 978-3-319-74539-8

  • eBook Packages: MedicineMedicine (R0)

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