Lewis J S
Arch Otolaryngol. 1975 Jan;101(1):23-5. doi: 10.1001/archotol.1975.00780300027006.
One hundred cases of temporal bone resection for cancer of the ear were reviewed retrospectively, allowing for a survival five-year follow-up period in all cases. Operative technique previously described varied from case to case but essentially involved subtotal resection of the mastoid, petrous pyramid and squamosa of the temporal bone, temporomandibular joint, base of zygoma, and attached adjacent soft tissues. The procedure sacrifices the facial nerve and hearing in the involved ear. Preoperative radiation or a sandwich technique of preoperative and postoperative radiation was used. Many complications were encountered, but with hypotensive agents, high-speed air drills, and adequate coverage of the defect, the death rate was reduced from 10% in 1954 to 5% in recent years. The overall five-year cure rate was 27%, with a 25% cure rate for squamous carcinoma.
对100例因耳部癌症行颞骨切除术的病例进行了回顾性研究，所有病例均进行了为期五年的生存随访。先前描述的手术技术因病例而异，但基本上包括颞骨的乳突、岩骨尖和鳞部、颞下颌关节、颧骨基部以及附着的相邻软组织的次全切除。该手术牺牲了患侧耳朵的面神经和听力。采用了术前放疗或术前术后放疗的夹心技术。遇到了许多并发症，但通过使用降压药、高速气钻以及对缺损的充分覆盖，死亡率从1954年的10%降至近年来的5%。总体五年治愈率为27%，鳞状细胞癌的治愈率为25%。
