Obliteration of the Mastoid in the Treatment of Tumors of the Temporal Bone

A retrospective analysis of 29 cases of squamous cell carcinoma of the external and middle ear and 15 cases of glomus jugulare tumors of the middle ear was performed to evaluate the incidence of osteoradionecrosis of the temporal bone following surgery and/or radiotherapy. Osteoradionecrosis occurred in 42% (8/19) of cases of squamous cell carcinoma which were treated with radical mastoidectomy, lateral or subtotal temporal bone resection leaving an open cavity and followed by an average of 5,840 rad postoperatively. No osteoradionecrosis, wound breakdown or otorrhea occurred in another group of six patients who were treated by surgical exenteration, total cavity obliteration, and an average of 5,700 rad of postoperative radiotherapy. Thus, cavity obliteration significantly decreased the incidence of these complications (p<0.05). In contrast, in 15 patients treated by surgery and postoperative irradiation (average dose = 4,610 rad) for glomus jugulare tumors, no osteoradionecrosis occurred despite use of an open cavity technique.

[1]  J. Sheehy,et al.  total obliteration of the mastoid, middle ear, and external auditory canal. A review of 27 cases. , 1981, The Laryngoscope.

[2]  M. Goodman,et al.  Management of malignancy of the temporal bone , 1977, The Laryngoscope.

[3]  James M. Cole.  Glomus jugulare tumor , 1977, The Laryngoscope.

[4]  K. Doppke,et al.  Osteoradionecrosis of the temporal bone--consideration of Nominal Standard Dose. , 1976, International journal of radiation oncology, biology, physics.

[5]  D. Schuller,et al.  Malignancies of the ear , 1976, The Laryngoscope.

[6]  R. Gacek.  Mastoid and Middle Ear Cavity Obliteration for Control of Otitis Media , 1976, The Annals of otology, rhinology, and laryngology.

[7]  G. Spector,et al.  A comparison of therapeutic modalities of glomus tumors in the temporal bone , 1976, The Laryngoscope.

[8]  C. C. Wang.  Radiation therapy in the management of carcinoma of the external auditory canal, middle ear, or mastoid. , 1975, Radiology.

[9]  R. Ramsden,et al.  Osteoradionecrosis of the temporal bone , 1975, The Journal of Laryngology & Otology.

[10]  R. Gacek,et al.  Cryosurgical treatment of carcinoma of the ear. , 1972, Transactions - American Academy of Ophthalmology and Otolaryngology. American Academy of Ophthalmology and Otolaryngology.

[11]  H. D. Fairman.  Cancer of the middle ear. , 1972, Proceedings of the Royal Society of Medicine.

[12]  J. Rambo.  XLVI Musculoplasty: Advantages and Disadvantages , 1965 .

[13]  W. N. Tucker.  Cancer of the middle ear. A Review of 89 Cases , 1965, Cancer.

[14]  J. Conley.  Cancer of the middle ear. , 1965, Transactions of the American Otological Society.

[15]  J. Rambo.  MUSCULOPLASTY: ADVANTAGES AND DISADVANTAGES. , 1965, The Annals of otology, rhinology, and laryngology.

[16]  J. Mclaurin,et al.  Cancer of the external auditory canal: Treatment with radical mastoidectomy and irradiation , 1964, The Laryngoscope.

[17]  John S. Lewis,et al.  Cancer of the ear: A report of 150 cases , 1960, The Laryngoscope.

[18]  J. Conley,et al.  The surgical treatment of malignant tumors of the ear and temporal bone. Part I. , 1960, A.M.A. archives of otolaryngology.

[19]  K. S. Holmes.  The Treatment of Carcinoma of the Middle Ear by the 4 MV Linear Accelerator , 1960, Proceedings of the Royal Society of Medicine.

[20]  J. Conley,et al.  Surgical treatment of cancer of the ear and temporal bone. , 1960, Transactions - American Academy of Ophthalmology and Otolaryngology. American Academy of Ophthalmology and Otolaryngology.