Malignant Tumors of Temporal Bone in Songklanagarind Hospital: Management and Results
Wandee Khaimook MD*, Yuvatiya Plodpai MD*
Affiliation : * Division of Otology, Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Songklanakarind Hospital, Hat Yai, Songkhla, Thailand
Objective : To evaluate the clinical course and treatment in patients with carcinoma of temporal bone
Material and Method: The authors retrospectively reviewed the patients treated for primary carcinoma of temporal
bone in Otolaryngology Head and Neck Surgery department, at Songklanagarind Hospital between 2002 and 2013.
Thirty-two patients, including 10 cancer of pinna and 22 carcinoma of the External Auditory Canal (EAC), were included
in this study. The treatment modality was lateral temporal bone resection and postoperative radiotherapy and palliative
radiotherapy for advanced stage tumors (T4). Twelve patients were excluded due to difference in modality. Twenty patients
remained in the study.
Results : Twenty patients had carcinoma of EAC, early stage (T1, T2) 36.4% and late stage (T3, T4) 63.6%. The overall
survival of this group was 46.9%. The median survival period was 22 months (0.286-0.769, 95% CI).
Conclusion : The complete resection is the treatment of choice in primary cancer of temporal bone. Postoperative radiotherapy
for a microscopic residual tumor is highly recommended. The most important thing is early diagnosis.
Keywords : Carcinoma of external auditory canal, Management, Results
