Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T11:48:03.816Z Has data issue: false hasContentIssue false
  • English
  • Français

Evaluating the outcomes of temporal bone resection in metastatic cutaneous head and neck malignancies: 13-year review

Published online by Cambridge University Press:  08 September 2015

A O'Connor ,
L Behan ,
M Toner ,
J Kinsella ,
E Beausang  and
C Timon
A O'Connor*
Affiliation:
Department of Otolaryngology, St James Hospital, Dublin, Ireland
L Behan
Affiliation:
Department of Epidemiology, University College Cork, Ireland
M Toner
Affiliation:
Department of Pathology, St James Hospital, Dublin, Ireland
J Kinsella
Affiliation:
Department of Otolaryngology, St James Hospital, Dublin, Ireland
E Beausang
Affiliation:
Department of Plastic Surgery, St James Hospital, Dublin, Ireland
C Timon
Affiliation:
Department of Otolaryngology, St James Hospital, Dublin, Ireland
*
Address for correspondence: Ms Ann O'Connor, Department of Otolaryngology, St James Hospital, James Street, Dublin 8, Ireland E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate the survival outcomes of patients who underwent lateral temporal bone resection as treatment for metastatic skin cancers.

Methods:

A single-institute, retrospective chart review was carried out on patients who underwent lateral temporal bone resection between January 2000 and December 2012. Overall survival and disease-free survival rates were calculated.

Results:

Forty-seven patients underwent temporal bone resection for primary (n = 21) or recurrent (n = 26) malignancies. The majority of patients (95.4 per cent) had advanced disease (stage III or IV). Average patient follow-up duration was 45 months. The 5-year and 10-year overall survival rates were 40 per cent and 23 per cent respectively. The five-year disease-free survival rate was 28 per cent.

Conclusion:

Aggressive initial surgical resection is warranted in the treatment of these tumours.

Keywords

Temporal BoneCarcinomaTreatment OutcomeMetastatic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 964 - 969
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Morton, RP, Stell, PM, Derrick, PP. Epidemiology of cancer of the middle ear cleft. Cancer 1984;53:1612–173.0.CO;2-P>CrossRefGoogle ScholarPubMed
2Parsons, H, Lewis, JS. Subtotal resection of the temporal bone for cancer of the ear. Cancer 1954;7:995–10013.0.CO;2-A>CrossRefGoogle ScholarPubMed
3Lederman, M, Jones, CH, Mould, RF. Cancer of the middle ear; technique of radiation treatment. Br J Radiol 1965;38:895–905CrossRefGoogle ScholarPubMed
4Arriaga, M, Curtin, H, Takahashi, H, Hirsch, BE, Kamerer, DB. Staging proposal for external auditory meatus carcinoma based on preoperative clinical examination and computed tomography findings. Ann Otol Rhinol Laryngol 1990;99:714–21CrossRefGoogle ScholarPubMed
5Moncrieff, MD, Hamilton, SA, Lamberty, GH, Malata, CM, Hardy, DG, Macfarlane, R et al. Reconstructive options after temporal bone resection for squamous cell carcinoma. J Plast Reconstr Aesthet Surg 2007;60:607–14CrossRefGoogle ScholarPubMed
6Lewis, JS. Cancer of the ear: a report of 150 cases. Laryngoscope 1960;70:551–79CrossRefGoogle ScholarPubMed
7Lederman, M. Malignant tumours of the ear. J Laryngol Otol 1965;79:85–119CrossRefGoogle ScholarPubMed
8Testa, JR, Fukuda, Y, Kowalski, LP. Prognostic factors in carcinoma of the external auditory canal. Arch Otolaryngol Head Neck Surg 1997;123:720–4CrossRefGoogle ScholarPubMed
9Moffat, DA, Wagstaff, SA, Hardy, DG. The outcome of radical surgery and postoperative radiotherapy for squamous carcinoma of the temporal bone. Laryngoscope 2005;115:341–7CrossRefGoogle ScholarPubMed
10Spector, JG. Management of temporal bone carcinomas: a therapeutic analysis of two groups of patients and long-term followup. Otolaryngol Head Neck Surg 1991;104:58–66CrossRefGoogle ScholarPubMed
11Yin, M, Ishikawa, K, Honda, K, Arakawa, T, Harabuchi, Y, Nagabashi, T et al. Analysis of 95 cases of squamous cell carcinoma of the external and middle ear. Auris Nasus Larynx 2006;33:251–7CrossRefGoogle ScholarPubMed
12Madsen, AR, Gundgaard, MG, Hoff, CM, Maare, C, Holmboe, P, Knap, M et al. Cancer of the external auditory canal and middle ear in Denmark from 1992 to 2001. Head Neck 2008;30:1332–8CrossRefGoogle ScholarPubMed
13Dean, N, White, H, Cater, D. Outcomes following temporal bone resection. Laryngoscope 2010;120:1516–22CrossRefGoogle ScholarPubMed
14Gidley, P, Roberts, D, Sturgis, E. Squamous cell carcinoma of the temporal bone. Laryngoscope 2010;120:1144–51CrossRefGoogle ScholarPubMed