Millar H S
Aust N Z J Surg. 1978 Dec;48(6):621-7. doi: 10.1111/j.1445-2197.1978.tb04916.x.
Fifteen patients with cancer involving the temporal bone have been considered for radical surgical treatment by partial resection of the temporal bone during the past 12 years. All but one had undergone previous treatment by local surgery and/or irradiation. Two patients proved to be inoperable at surgical exploration. Three types of partial resection of the temporal bone and described to encompass disease involving the concha, the mastoid and squamous areas of the temporal bone, the ear canal, the middle ear, and the parotid gland. Closure of the surgical defect has been achieved in five cases using the residual pinna, in four cases with scalp flaps, and in five cases with a deltopectoral flap. Complications have been surprisingly few, with only one postoperative death. In one case communicating hydrocephalus persisted until death from residual disease many months later. Minor repair failure occurred in two patients. No attempt has been made to restore facial nerve function by grafting procedures. Long-term survival has been disappointing; however, it is considered that such radical surgery remains justified in selected cases for relief of the pain and disfigurement caused by chronic ulcerating neoplastic disease.
在过去12年里，有15例颞骨癌患者被考虑通过颞骨部分切除术进行根治性手术治疗。除1例患者外，其余患者均曾接受过局部手术和/或放疗。有2例患者在手术探查时被证明无法手术。颞骨部分切除术有三种类型，包括累及耳甲、颞骨乳突和鳞状区域、耳道、中耳和腮腺的病变。5例患者利用残留耳廓封闭手术缺损，4例患者使用头皮瓣，5例患者使用胸大肌皮瓣。并发症出奇地少，只有1例术后死亡。有1例患者交通性脑积水一直持续，直到数月后因残留疾病死亡。2例患者出现轻微修复失败。未尝试通过移植手术恢复面神经功能。长期生存率令人失望；然而，对于缓解慢性溃疡性肿瘤疾病引起的疼痛和毁容，这种根治性手术在某些特定病例中仍被认为是合理的。
