Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-29T11:29:20.975Z Has data issue: false hasContentIssue false

Irresectable tumours of the temporal bone

Published online by Cambridge University Press:  29 June 2007

R. E. Quiney
Affiliation:
London
L. M. Flood*
Affiliation:
London
*
L. M. Flood, F.R.C.S., Consultant ENT Surgeon, North Riding Infirmary, Middlesbrough.

Abstract

Sporadic case reports and the few published series of expanding lesions of the deep petrous temporal bone propose a variety of surgical approaches to ensure excision. All such surgery represents a compromise between exposure adequate for total removal and avoidance of further neurological deficit. Unfortunately pathology in the petrous apex evolves relatively silently and diagnosis is delayed. In many cases total excision is impossible. We present a series of patients presenting with advanced tumours of the deep petrous temporal bone in order to illustrate the spectrum of disease encountered, the limited role of surgery and the natural history of irresectable pathology in this remote and inaccessible area.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1987

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

Ariyan, S., Saski, C. T. and Spencer, D. (1982) Radical en bloc resection of the temporal bone. American Journal of Surgery, 142: 443447.Google Scholar
Belal, A. (1985) Metastatic tumours of the temporal bone. Journal of Laryngology and Otology, 99: 839846.Google Scholar
Chole, R. A. and Donald, P. J. (1983) Petrous apicitis, clinical considerations. Annals of Otology, Rhinology and Laryngology, 92: 544551.Google Scholar
Cole, J. M. (1979) Radiation of glomus tumours of the temporal bone. Laryngoscope, 89: 16231627.CrossRefGoogle ScholarPubMed
Crockard, H. A. (1985) The transoral approach to the base of the brain and upper cervical cord. Annals of the Royal College of Surgeons, 67: 321324.Google Scholar
Dubois, P. J. and Roub, L. W. (1978) Giant air cells of the petrous apex. Tomographic features. Radiology, 129: 103109.CrossRefGoogle ScholarPubMed
Fisch, U. (1978) Infratemporal fossa approach to tumours of the temporal bone and the base of the skull. Journal of Laryngology and Otology, 92: 949967.Google Scholar
Flood, L. M. and Kemink, J. L. (1984) Surgery in lesions of the petrous apex. Otolaryngologic Clinics of North America, 17: 565575.Google Scholar
Flood, L. M., Kemink, J. L. and Graham, M. D. (1985) The investigation and management of petrous apex erosion. Journal of Laryngology and Otology, 99: 439450.CrossRefGoogle ScholarPubMed
Glassock, M. E., Jackson, C. G., Dickens, J. R. and Wiet, R. J. (1979) The surgical management of glomus tumours. Laryngoscope, 89: 16401651.Google Scholar
Goodwin, W. J. and Jesse, R. H. (1980) Malignant neoplasms of the external carotid artery and temporal bone. Archives of Otolaryngology, 106: 675679.CrossRefGoogle Scholar
Graham, M. D., Sataloff, R. T., Kemink, J. L., Wolf, G. T. and McGillicuddy, J. E. (1984) Total en bloc resection of the temporal bone and carotid artery. Laryngoscope, 94: 528531.Google Scholar
Hasegawa, M., Nishijima, W., Watanabe, I., Nasu, M. and Kamiyama, R. (1985) Primary chondroid chordoma arising from the temporal bone. Journal of Laryngology and Otology, 99: 485489.Google Scholar
Heffelfinger, M. J., Dahlin, D., MacCarty, C. and Beaubout, T. W. (1973) Chordomas and cartilaginous tumours of the skull base. Cancer, 32: 410420.3.0.CO;2-S>CrossRefGoogle Scholar
Iraci, G., Gerosa, M. and Pardatscher, K. (1973) Isolated Vernet's syndrome: an unusual manifestation of intracranial chordoma. Surgical Neurology, 1: 295298.Google Scholar
Kearns, D. B., Coker, N. J., Pitcock, J. K. and Jenkins, H. A. (1985) Tuberculous petrous apicitis. Archives of Otolaryngology, 111: 406408.Google Scholar
Krause, E. M. and McCabe, B. F. (1982) Giant apical air cell syndrome. Annals of Otology, Rhinology and Laryngology, 91: 237239.Google Scholar
Lederman, M. (1965) Malignant tumours of the ear. Journal of Laryngology and Otology, 79: 85119.CrossRefGoogle ScholarPubMed
Lewis, J. S. (1975) Temporal bone resection: Review of 100 cases. Archives of Otolaryngology, 101: 2325.Google Scholar
Maybrey, R. E. (1935) Chordoma. A study of 150 cases. American Journal of Cancer, 25: 501517.Google Scholar
Shaheen, O. M. (1983) The management of tumours of the middle ear. Journal of Laryngology and Otology, 97: 313317.Google Scholar
Spector, G. J. and Sobol, S. (1980) Surgery for tumours at the skull base. Otolaryngology, Head and Neck Surgery, 88: 524530.Google Scholar
Spector, G. J., Sobol, S., Thawley, S. E., Maisel, R. H. and Ogura, J. M. (1979) Glomus jugulare tumours of the temporal bone: patterns of invasion. Laryngoscope, 89: 16281639.Google Scholar
Spoden, J. E., Bunisted, R. N. and Warner, E. D. (1980) Chondroid chordoma: a case report and literature review. Annals of Otology, Rhinology and Laryngology, 89: 279285.CrossRefGoogle ScholarPubMed
Tuck, R. R., Mokri, B. and Cilluffo, J. M. (1984) Intercranial schwannoma of the hypoglossal nerve. Archives of Neurology, 41: 501505.CrossRefGoogle Scholar
Wright, D. (1967) Nasopharyngeal and cervical chordoma—some aspects of their development and treatment. Journal of Laryngology and Otology, 81: 13371355.Google Scholar
Wright, J. W., Wright, J. W. Ill and Hicks, G. W. (1979) Radiological appearance of glomus tumours. Laryngoscope, 189: 16201622.Google Scholar