Skip to main content Accessibility help
×
×
Home

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

  • A O'Connor (a1), L Behan (a2), M Toner (a3), J Kinsella (a1), E Beausang (a4) and C Timon (a1)...

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.

Copyright

Corresponding author

Address for correspondence: Ms Ann O'Connor, Department of Otolaryngology, St James Hospital, James Street, Dublin 8, Ireland E-mail: aoconnor@rcsi.ie

References

Hide All
1Morton, RP, Stell, PM, Derrick, PP. Epidemiology of cancer of the middle ear cleft. Cancer 1984;53:1612–17
2Parsons, H, Lewis, JS. Subtotal resection of the temporal bone for cancer of the ear. Cancer 1954;7:9951001
3Lederman, M, Jones, CH, Mould, RF. Cancer of the middle ear; technique of radiation treatment. Br J Radiol 1965;38:895905
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;99:714–21
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;60:607–14
6Lewis, JS. Cancer of the ear: a report of 150 cases. Laryngoscope 1960;70:551–79
7Lederman, M. Malignant tumours of the ear. J Laryngol Otol 1965;79:85119
8Testa, JR, Fukuda, Y, Kowalski, LP. Prognostic factors in carcinoma of the external auditory canal. Arch Otolaryngol Head Neck Surg 1997;123:720–4
9Moffat, DA, Wagstaff, SA, Hardy, DG. The outcome of radical surgery and postoperative radiotherapy for squamous carcinoma of the temporal bone. Laryngoscope 2005;115:341–7
10Spector, JG. Management of temporal bone carcinomas: a therapeutic analysis of two groups of patients and long-term followup. Otolaryngol Head Neck Surg 1991;104:5866
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;33:251–7
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;30:1332–8
13Dean, N, White, H, Cater, D. Outcomes following temporal bone resection. Laryngoscope 2010;120:1516–22
14Gidley, P, Roberts, D, Sturgis, E. Squamous cell carcinoma of the temporal bone. Laryngoscope 2010;120:1144–51
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed