Temporal bone neoplasms: a report on 20 surgically treated cases.

Abstract:

:The surgical resection of neoplasms involving the petrous bone and surrounding areas in 20 patients is reported. Technical advances described include the total resection of several tumors previously considered inoperable due to involvement of dura and brain, petrous internal carotid artery (ICA), the vein of Labbé, and adjacent areas such as the clivus and the cavernous sinus. Areas of reconstruction after resection included the ICA, the seventh and 11th cranial nerves, and the cranial base, often requiring the use of vascularized flaps. There were no intraoperative deaths. Many patients experienced significant temporary morbidity related primarily to wound healing and to lower cranial nerve palsy; however, all but three patients (all with fast-growing malignancies) returned to their preoperative functional status. During a median follow-up period of 30 months (range 17 to 63 months), the 10 patients with benign tumors and slow-growing malignancies fared well, seven being alive and disease-free. The 10 patients with fast-growing malignancies fared poorly, only two being alive without disease. This outcome appeared to be related to tumor pathology and extent of invasion; both survivors harbored tumors confined to the petrous bone. An anatomical classification system of tumor spread is introduced, which should be considered concomitantly with tumor pathology.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Sekhar LN,Pomeranz S,Janecka IP,Hirsch B,Ramasastry S

doi

10.3171/jns.1992.76.4.0578

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

578-87

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

76

pub_type

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