title: En bloc resection of the temporal bone and temporomandibular joint for advanced temporal bone carcinoma.
abstract: Advanced skin malignancies involving the temporal bone can involve the temporomandibular joint and glenoid fossa. Many of these tumors can be removed with a lateral temporal bone resection; however, extensive involvement of the glenoid fossa should include an en bloc resection of the temporal bone, glenoid fossa, and condyle. We describe a novel surgical approach that is an extension of a temporal bone resection that includes the glenoid fossa and condyle in an en bloc resection with the temporal bone. This procedure has been performed in 7 patients with advanced carcinoma of the temporal bone involving the glenoid fossa. There were no short-term complications as a result of the surgical approach. The addition of a middle fossa craniotomy and inclusion of the glenoid fossa and condyle as part of an en bloc resection of the temporal bone can be performed safely.
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA walter.kutz@utsouthwestern.edu.
authors.forename: Joe Walter
authors.initials: JW
authors.lastname: Kutz
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Derek
authors.initials: D
authors.lastname: Mitchell
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Brandon
authors.initials: B
authors.lastname: Isaacson
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Peter S
authors.initials: PS
authors.lastname: Roland
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Kyle P
authors.initials: KP
authors.lastname: Allen
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Baran D
authors.initials: BD
authors.lastname: Sumer
authors.affiliation: Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Sam
authors.initials: S
authors.lastname: Barnett
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Truelson
authors.affiliation: Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Larry L
authors.initials: LL
authors.lastname: Myers
mesh_terms: D003399:Craniotomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D009367:Neoplasm Staging; D012888:Skull Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery*; D013704:Temporomandibular Joint / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: middle fossa craniotomy; squamous cell carcinoma; temporal bone; temporal bone resection