Petrosectomies for invasive tumours: surgery and reconstruction

Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection for malignancies is, however, such a formidable undertaking that many centres label such tumours as unresectable. Additionally, the enormity...

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Published inBritish journal of plastic surgery Vol. 49; no. 6; pp. 370 - 378
Main Authors Malata, C.M., Cooter, Rodney D., Towns, Gerry M., Batchelor, Gerry G.G.
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.09.1996
Elsevier
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Abstract Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection for malignancies is, however, such a formidable undertaking that many centres label such tumours as unresectable. Additionally, the enormity of the surgical defect poses a major reconstructive challenge. A review of 14 petrosectomies (in 12 males and 2 females) performed for extensively invasive neoplasms in and around the ear is presented. All underwent immediate reconstruction, the majority (12/14) with free tissue transfers. 9 of the 14 patients (64%) are still alive after a mean follow-up of 70 months (range 4–8 years). With the use of free tissue transfers, an aggressive approach with regard to the resection margins can safely be adopted in the full knowledge that the eventual size of the defect need not compromise tumour clearance. Additionally, free flaps provided a reliable dural seal. This approach of radical en bloc resection with free flap reconstruction has decreased the mortality (compared to the literature), while largely reducing the morbidity to that of unavoidable cranial nerve resection.
AbstractList Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection for malignancies is, however, such a formidable undertaking that many centres label such tumours as unresectable. Additionally, the enormity of the surgical defect poses a major reconstructive challenge. A review of 14 petrosectomies (in 12 males and 2 females) performed for extensively invasive neoplasms in and around the ear is presented. All underwent immediate reconstruction, the majority (12/14) with free tissue transfers. 9 of the 14 patients (64%) are still alive after a mean follow-up of 70 months (range 4–8 years). With the use of free tissue transfers, an aggressive approach with regard to the resection margins can safely be adopted in the full knowledge that the eventual size of the defect need not compromise tumour clearance. Additionally, free flaps provided a reliable dural seal. This approach of radical en bloc resection with free flap reconstruction has decreased the mortality (compared to the literature), while largely reducing the morbidity to that of unavoidable cranial nerve resection.
Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection for malignancies is, however, such a formidable undertaking that many centres label such tumours as unresectable. Additionally, the enormity of the surgical defect poses a major reconstructive challenge. A review of 14 petrosectomies (in 12 males and 2 females) performed for extensively invasive neoplasms in and around the ear is presented. All underwent immediate reconstruction, the majority (12/14) with free tissue transfers. 9 of the 14 patients (64%) are still alive after a mean follow-up of 70 months (range 4-8 years). With the use of free tissue transfers, an aggressive approach with regard to the resection margins can safely be adopted in the full knowledge that the eventual size of the defect need not compromise tumour clearance. Additionally, free flaps provided a reliable dural seal. This approach of radical en bloc resection with free flap reconstruction has decreased the mortality (compared to the literature), while largely reducing the morbidity to that of unavoidable cranial nerve resection.
Author Batchelor, Gerry G.G.
Malata, C.M.
Cooter, Rodney D.
Towns, Gerry M.
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Issue 6
Keywords Human
Petrous bone
Temporal bone
Stomatology
Treatment efficiency
Mortality
Bibliographic survey
Male
Anatomical reconstruction
Radiotherapy
Ablation
Morbidity
Retrospective
Result
Case study
Surgery
Free flap
Adult
Complication
Female
Technique
Comparative study
Language English
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Snippet Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection...
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pubmed
pascalfrancis
elsevier
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Index Database
Publisher
StartPage 370
SubjectTerms Adult
Aged
Aged, 80 and over
Biological and medical sciences
Ear - pathology
Female
Follow-Up Studies
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Neoplasm Invasiveness
Petrous Bone - surgery
Postoperative Complications
Retrospective Studies
Skull Neoplasms - pathology
Skull Neoplasms - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery, Plastic - methods
Surgical Flaps
Title Petrosectomies for invasive tumours: surgery and reconstruction
URI https://dx.doi.org/10.1016/S0007-1226(96)90005-3
https://www.ncbi.nlm.nih.gov/pubmed/8881783
https://search.proquest.com/docview/78471944
Volume 49
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