En bloc temporal bone resection using a diamond threadwire saw for malignant tumors.
The purpose of this study is to describe a new technique for en bloc temporal bone resection using a diamond threadwire saw (T-saw) as an alternative to cutting the temporal bone with an osteotome. This technique has been performed in 10 patients with external auditory canal and middle ear cancers without any injury to the internal carotid artery or jugular vein. The authors conclude that the use of a diamond threadwire saw after transposing the internal carotid artery anteriorly is a safe, simple, and reliable technique for en bloc temporal bone resection.
Jimbo
Hiroyuki
H
Department of Neurosurgery, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan. hjimbo@tokyo-med.ac.jp
Kamata
Shinetsu
S
Miura
Kouki
K
Masubuchi
Tatsuo
T
Ichikawa
Megumi
M
Ikeda
Yukio
Y
Haraoka
Jo
J
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D003399:Craniotomy / Q000295:instrumentation*; D004424:Ear Canal / Q000473:pathology / Q000601:surgery; D004428:Ear Neoplasms / Q000473:pathology / Q000601:surgery*; D004431:Ear, External / Q000473:pathology / Q000601:surgery*; D004432:Ear, Middle / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013524:Surgical Flaps; D013525:Surgical Instruments; D013701:Temporal Bone / Q000601:surgery*; D014057:Tomography, X-Ray Computed