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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: aoconnor@rcsi.ie
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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

Information

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

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