title: [Surgical treatment of transcranial middle cranial fossa-lateral skull base malignant tumor].
abstract: OBJECTIVE
  To evaluate the surgical method of transcranial middle cranial fossa-lateral skull base malignant tumor.
  
  
  METHODS
  Sixteen patients with transcranial middle cranial fossa-lateral skull base malignant tumors were treated by three surgical methods. (1) Postauricular "C" form incision, combined with subtotal resection of temporal bone and high lateral neck approach to resect tumors located in middle cranial fossa, lateral skull base, and parotid region. (2) Temporal side "tungue" form incision, middle cranial fossa approach to resect tumors inside and outside the skull. (3) Temporal-auricular-mandible swing approach to resect tumors in parapharyngeal-infratemporal fossa-middle cranial fossa. Thirteen of the 16 cases received radiotherapy postoperatively.
  
  
  RESULTS
  After operation, 11 of the 16 cases survived more than three years, five cases died within three years. Three-year-survival rate was 69%.
  
  
  CONCLUSIONS
  Our results showed that the three surgical methods adopted could fully expose the internal and external skull lesion to remove the extensive malignant tumors. For late stage malignant tumors of the skull base, it should be treated aggressively by combination of surgical therapy and postoperative radiotherapy.
authors.affiliation: Department of Otorhinolaryngology, Fuzhou General Hospital of Nanjing Command of the PLA, Fuzhou 350025, China. TSGuan0693@yahoo
authors.forename: You-wen
authors.initials: YW
authors.lastname: Yuan
authors.forename: Ze-nian
authors.initials: ZN
authors.lastname: Zhen
authors.forename: Min
authors.initials: M
authors.lastname: Zhao
authors.forename: Hui
authors.initials: H
authors.lastname: Chen
authors.forename: Xian-ming
authors.initials: XM
authors.lastname: Chen
authors.forename: Jian-zhong
authors.initials: JZ
authors.lastname: Li
authors.forename: Pu-wen
authors.initials: PW
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019291:Skull Base / Q000601:surgery*; D019292:Skull Base Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D013701:Temporal Bone / Q000601:surgery