Recurrent Ca of EAC (T3)
Subtotal Temporal Bone Resection
Recurrent Ca of EAC (T3) Subtotal Temporal Bone Resection
Fig.1 EAC – External auditory Canal, TM – Tympanic membrane, JB – Jugular bulb, ICA – Internal carotid artery, IJV – internal jugular vein, Lab – Labyrinth, SCC – semi circular canal, ME – Middle ear.
Fig.2 Subtotal temporal bone resection for tumours extending into middle ear.
Fig.3 Recurrent carcinoma after radiotherapy. CT shows erosion od bony EAC, mastoid and extension into middle ear.
Fig.4 Postaural incision. EAC divided laterally. Retrograde parotidectomy done without seperating it from EAC. Facial nerve was divided proximal to its bifurcation.
Fig.5 Subtotal temporal bone resection done along with condyle of mandible. Green arrow – osteotomy site at the neck of mandible. Exposed sigmoid sinus, jugular bulb and vertical petrous internal carotid artery are seen.
Fig.6 Facial nerve was anastamosed to hypoglossal nerve. Cavity obliterated with free fat graft.
Fig.7 Post op (4 yrs) CT scan shows no recurrence.
The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
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The Heart Of Clinic
Dr. C. Rayappa MBBS, DLO, FRCS(Edin)
SENIOR CONSULTANT
+91 44 3315 1105
Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)