title: Temporal bone malignancies.
abstract: Primary temporal bone tumors are rare. Suspicious lesions of the ear canal should be biopsied for diagnosis. Surgical resection to achieve negative margins is the mainstay of treatment. Small tumors can be treated with lateral temporal bone resection. Parotidectomy and neck dissection are added for disease extension and proper staging. Higher staged tumors generally require subtotal temporal bone resection or total temporal bone resection. Adjuvant postoperative radiotherapy has shown improved survival for some patients. Chemotherapy has an emerging role for advanced stage disease. Evaluation and management by a multidisciplinary team are the best approach for patients with these tumors.
authors.affiliation: Department of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA. pwgidley@mdanderson.org
authors.forename: Paul W
authors.initials: PW
authors.lastname: Gidley
authors.forename: Franco
authors.initials: F
authors.lastname: DeMonte
mesh_terms: D003131:Combined Modality Therapy; D005154:Facial Nerve / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D010306:Parotid Gland; D011183:Postoperative Complications / Q000601:surgery; D019292:Skull Base Neoplasms / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D013534:Survival; D013701:Temporal Bone / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed