Nursing management of the patient with total en bloc resection of the temporal bone.

En bloc resection of the temporal bone is an extensive and complicated surgical procedure for removal of malignancies of the ear and temporal bone. The lengthy surgical procedure (18 to 36 hours) and the resultant functional disabilities and cosmetic deformities create special nursing management concerns. Preoperative preparation, carotid artery occlusion, and postoperative nursing management are discussed. Communication and psychological issues for the patient and family are presented.