Document Detail


Temporal bone resection for cancer.
MedLine Citation:
PMID:  299506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifteen patients with cancer involving the temporal bone have been considered for radical surgical treatment by partial resection of the temporal bone during the past 12 years. All but one had undergone previous treatment by local surgery and/or irradiation. Two patients proved to be inoperable at surgical exploration. Three types of partial resection of the temporal bone and described to encompass disease involving the concha, the mastoid and squamous areas of the temporal bone, the ear canal, the middle ear, and the parotid gland. Closure of the surgical defect has been achieved in five cases using the residual pinna, in four cases with scalp flaps, and in five cases with a deltopectoral flap. Complications have been surprisingly few, with only one postoperative death. In one case communicating hydrocephalus persisted until death from residual disease many months later. Minor repair failure occurred in two patients. No attempt has been made to restore facial nerve function by grafting procedures. Long-term survival has been disappointing; however, it is considered that such radical surgery remains justified in selected cases for relief of the pain and disfigurement caused by chronic ulcerating neoplastic disease.
Authors:
H S Millar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of surgery     Volume:  48     ISSN:  0004-8682     ISO Abbreviation:  Aust N Z J Surg     Publication Date:  1978 Dec 
Date Detail:
Created Date:  1987-07-14     Completed Date:  1987-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0373115     Medline TA:  Aust N Z J Surg     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  621-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Basal Cell / surgery*
Carcinoma, Squamous Cell / surgery*
Ear Neoplasms / surgery
Ear, External / surgery
Ear, Middle / surgery
Female
Humans
Intraoperative Complications
Male
Postoperative Complications
Skin Neoplasms / surgery*
Surgery, Plastic
Temporal Bone / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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