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颞骨及颈动脉整块切除术治疗耳部及颞骨恶性肿瘤。

Total en bloc resection of the temporal bone and carotid artery for malignant tumors of the ear and temporal bone.

作者信息

Graham M D, Sataloff R T, Kemink J L, Wolf G T, McGillicuddy J E

出版信息

Laryngoscope. 1984 Apr;94(4):528-33. doi: 10.1288/00005537-198404000-00019.

DOI:10.1288/00005537-198404000-00019
PMID:6708697
Abstract

A technique for single stage total en bloc resection of the temporal bone and intratemporal carotid artery with immediate reconstruction has been described. This formidable procedure requires the collaborative efforts of neurotologic skull base surgeons, neurosurgeons, and head and neck surgeons. Two patients have undergone this procedure; one with squamous cell carcinoma and one with extensive basal cell carcinoma. The quality of life following this procedure is adequate and the cosmetic deformity can be minimized. Longer follow-up is necessary to determine the value and overall impact of this approach to cancer of the temporal bone on disease free interval and patient survival. Further experience with the technical aspects of this procedure should reduce the operating time, blood loss, and resultant morbidity.

摘要

一种用于颞骨和颞内颈动脉一期整块切除并立即重建的技术已被描述。这一艰巨的手术需要耳科颅底外科医生、神经外科医生以及头颈外科医生的共同努力。两名患者接受了该手术;一名患有鳞状细胞癌,另一名患有广泛性基底细胞癌。该手术后的生活质量尚可,且可将美容畸形降至最低。需要更长时间的随访来确定这种颞骨癌症治疗方法对无病生存期和患者生存率的价值及总体影响。随着对该手术技术方面的进一步经验积累,应能减少手术时间、失血量及由此产生的发病率。

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Total en bloc resection of the temporal bone and carotid artery for malignant tumors of the ear and temporal bone.颞骨及颈动脉整块切除术治疗耳部及颞骨恶性肿瘤。
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