Introduction

Malignancies involving the temporal bone are increasingly common and require specialized multi-disciplinary care. Given this complex location, involvement of the lateral skull base and local neurovascular structures is common. In this review we discuss general principles for temporal bone resection, as well as alternative and complementary surgical approaches that should be considered in the management of patients with temporal bone cancer.

Methods

A comprehensive review on literature pertaining to temporal bone resection was performed.

Results

The primary surgical strategy for malignancies of the temporal bone is temporal bone resection. This may be limited to the ear canal and tympanic membrane (lateral temporal bone resection) or may include the otic capsule and its contents (subtotal temporal bone resection), and/or the petrous apex (total temporal bone resection). Management of adjacent neurovascular structures including the facial nerve, the carotid artery, and the jugular bulb/sigmoid sinus should be considered during surgical planning. Finally, adjunctive procedures such as parotidectomy and neck dissection may be required based on tumor stage.

Conclusions

Temporal bone resection is an important technique in the treatment of lateral skull-base malignancies. This strategy should be incorporated into a multi-disciplinary approach to cancer.

中文翻译：

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颞骨切除术治疗外侧颅底恶性肿瘤。

介绍

涉及颞骨的恶性肿瘤越来越常见，需要专门的多学科护理。鉴于这个复杂的位置，外侧颅底和局部神经血管结构的受累很常见。在这篇综述中，我们讨论了颞骨切除的一般原则，以及在治疗颞骨癌患者时应考虑的替代和补充手术方法。

方法

对有关颞骨切除的文献进行了全面审查。

结果

颞骨恶性肿瘤的主要手术策略是颞骨切除术。这可能仅限于耳道和鼓膜（颞骨外侧切除）或可能包括耳囊及其内容物（颞骨次全切除）和/或岩尖（颞骨全切除）。在手术计划中应考虑对邻近神经血管结构的管理，包括面神经、颈动脉和颈静脉球/乙状窦。最后，根据肿瘤分期，可能需要辅助手术，如腮腺切除术和颈部切除术。

结论

颞骨切除术是治疗外侧颅底恶性肿瘤的一项重要技术。该策略应纳入癌症的多学科方法中。