Lateral Temporal Bone Resection
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Lateral temporal bone resection is the workhorse procedure to remove tumors that involve the ear canal and temporal bone. The indications for this procedure are enumerated. The goal is complete en bloc resection of the ear canal along with the disease within it. The steps for this procedure are illustrated and discussed. The facial nerve is decompressed and dissected. The rationale for facial nerve sacrifice is given. Reconstructive techniques are outlined. The inner ear is spared, and patients are good candidates for hearing rehabilitation using an osseointegrated implant. Complications and postoperative management are highlighted.
KeywordsLateral temporal bone resection Temporal bone cancer Ear canal cancer Parotid cancer Periauricular skin cancer Facial nerve Temporalis flap Osseointegrated implant Squamous cell carcinoma
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