Document Detail

The oncology of otology.
MedLine Citation:
PMID:  22252464     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES/HYPOTHESIS: To describe the population of patients with malignancy affecting the ear canal and temporal bone.
STUDY DESIGN: Retrospective review.
METHODS: The charts of 157 patients with temporal bone cancer were reviewed for clinical outcomes.
RESULTS: Between 1999 and 2009, 157 patients underwent temporal bone surgery for cancer involving the ear canal (n = 25), external ear with ear canal involvement (n = 26), periauricular skin (n = 40), parotid gland (n = 40), temporal bone (n = 13), and lateral skull base (n = 13). All surgeries involved one or more otologic approaches: mastoidectomy (28.0%), lateral temporal bone resection (TBR) (59.2%), subtotal TBR (2.5%), total TBR (3.2%), transtemporal approach (TTA) to the jugular foramen (8.2%), TTA to the middle fossa (5.7%), and TTA to the infratemporal fossa (3.2%). Cancers of the cartilaginous ear canal were managed with wide local excision of canal skin and cartilage in nine patients (5.7%). A combination of approaches was performed in 32 patients (20.4%). The 5-year overall survival rate was 58.0%. Patients whose disease was limited to the ear canal had significantly better overall survival than did patients who had skull base primaries (P = .02989), periauricular skin cancer (P = .00138), or temporal bone tumors (P = .02598). Patients with parotid tumors also had better overall survival than did those with periauricular skin tumors (P = .02357).
CONCLUSIONS: Otologic surgery plays an important role in managing cancers that involve the ear canal, temporal bone, or lateral skull base. The specialty of otologic oncology is emerging as a defined area of practice.
Paul W Gidley; Christopher R Thompson; Dianna B Roberts; Franco DeMonte; Ehab Y Hanna
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2012-01-17
Journal Detail:
Title:  The Laryngoscope     Volume:  122     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-24     Completed Date:  2012-03-20     Revised Date:  2014-08-12    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  393-400     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
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MeSH Terms
Aged, 80 and over
Ear Neoplasms / diagnosis,  epidemiology*,  surgery
Middle Aged
Neoplasm Staging
Otologic Surgical Procedures / methods
Retrospective Studies
Skull Base*
Skull Neoplasms / diagnosis,  epidemiology*,  surgery
Temporal Bone*
United States / epidemiology
Young Adult
Grant Support

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

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