Tumors of the temporal bone

Czech version

Authors: Martin Chovanec ¹; Zdeněk Fík ²
Authors‘ workplace: Otorinolaryngologická klinika 3. LF UK a FN Královské Vinohrady, Praha ¹; Klinika otorinolaryngologie a chirurgie hlavy a krku 1. LF UK a FN Motol, Praha ²
Published in: Čas. Lék. čes. 2019; 158: 248-252
Category: Review Article

Overview

Temporal bone tumors are rare entities. Histologically these pathologies represent heterogeneous group of diseases. The most common tumors of the temporal bone are vestibular schwannoma, tympanojugular paragangliomas and temporal bone carcinomas. Inner ear tumors, tumors of intratemporal segment of facial nerve and petrous bone tumors represent specific problematics.

Clinical symptomatology reflects localization, extent of temporal bone invasion and involvement of individual temporal bone structures. Atypical symptomatology, dysfunction of the cranial nerves of the temporal bone and clustering of inner and middle ear symptoms are key warning signs. Imaging methods, audiometric, neurootological, and neurophysiological examinations are crucial for diagnosis and therapeutic decision planning.

Modern therapeutic approaches are dictated by improved understanding of the biology of different tumors and follow recommended guidelines. The treatment is multidisciplinary in many aspects. Surgical treatment requires specific equipment, experience and accumulation of adequate number of cases, therefore it is realized in specialized centers. Unique surgical approaches from the spectrum of neurootologic surgery and skull base surgery are employed.

Keywords:

temporal bone tumors – paraganglioma – vestibular schwannoma – chondrosarcoma – petrous bone cholesteatoma – cholesterol granuloma – neurootologic surgery

Sources

Chovanec M. Vestibulární schwannom a jiné nádory skalní kosti a mostomozečkového koutu. In: Čada Z, Černý R, Čakrt O a kol. Závratě. Tobiáš, Havlíčkův Brod, 2017: 396–422.
Guha A, Musil Z, Vicha A et al. A systematic review on the genetic analysis of paragangliomas: primarily focused on head and neck paragangliomas. Neoplasma 2019; 66(5): 671–680.
Sanna M, Jain Y, De Donato G et al. Management of jugular paragangliomas: the Gruppo Otologico experience. Otol Neurotol 2004; 25(5): 797–804.
Sivalingam S, Konishi S, Shin SH et al. Surgical management of tympanojugular paragangliomas with intraduralextension, with a proposed revision of the Fisch classification. Audiol Neurootol 2012; 17(4): 243–255.
Skřivan J, Zvĕrina E, Kluh J et al. Our experience with surgical treatment of tympanojugular pragangliomas. Prague Med Rep 2010; 111(1): 25–34.
Husseini ST, Piccirillo E, Taibah A et al. The Gruppo Otologico experience of endolymphatic sac tumor. Auris Nasus Larynx 2013; 40(1): 25–31.
Frisch CD, Eckel LJ, Lane JI et al. Intralabyrinthine schwannomas. Otolaryngol Clin North Am 2015; 48(3): 423–441.
Falcioni M, Russo A, Taibah A et al. Facial nerve tumors. Otol Neurotol 2003; 24(6): 942–947.
Piccirillo E, Agarwal M, Rohit KT et al. Management of temporal bone hemangiomas. Ann Otol Rhinol Laryngol 2004; 113(6): 431–437.
Yang W, Zhao J, Han Y et al. Long-term outcomes of facial nerve schwannomas with favorable facial nerve function: tumor growth rate is correlated with initial tumor size. Am J Otolaryngol 2015; 36(2): 163–165.
O'Donoghue GM, Brackmann DE, House JW et al. Neuromas of the facial nerve. Am J Otol 1989; 10(1): 49–54.
Chovanec M, Skřivan J, Betka J. Lícní nerv a patologie spánkové kosti. In: Sameš M, Vachata P. Lícní nerv – anatomie, patologie, léčba. Mladá fronta, Praha, 2016: 314–349.
Stangerup SE, Caye-Thomasen P. Epidemiology and natural history of vestibular schwannomas. Otolaryngol Clin North Am 2012; 45(2): 257–268.
Broomfield SJ, O'Donoghue GM. Self-reported symptoms and patient experience: a British Acoustic Neuroma Association survey. Br J Neurosurg 2016; 30(3): 294–301.
Graham ME, Westerberg BD, Lea J et al. Shared decision making and decisional conflict in the management of vestibular schwannoma: a prospective cohort study. J Otolaryngol Head Neck Surg 2018; 47(1): 52.
Lassaletta J, Gavilan J. An update on the treatment of vestibular schwannoma. Acta Otorrinolaringol Esp 2009; 60(2): 131–140.
Chovanec M. Operace nádorů mostomozečkového koutu. In: Čada Z, Černý R, Čakrt O a kol. Závratě. Tobiáš, Havlíčkův Brod, 2017: 446–455.
Chovanec M, Zvěřina E, Profant O et al. Impact of video-endoscopy on the results of retrosigmoid-transmeatal microsurgery of vestibular schwannoma: prospective study. Eur Arch Otorhinolaryngol 2013; 270(4): 1277–1284.
Betka J, Zvěřina E, Balogová Z et al. Complications of microsurgery of vestibular schwannoma. Bio Med Res Int 2014; 2014: 315952.
Zvěřina E. Neurinom akustiku – vestibulární schwannom – osobní pohled na nejmodernější postupy v jeho léčbě. Časopis lékařů českých 2010; 149(6): 269–276.
Betka J, Zvěřina E, Lisý J et al. Vestibulární schwannom. Otorinolaryngologie a foniatrie 2008; 57(4): 221–225.
Prasad SC, D'Orazio F, Medina M et al. State of the art in temporal bone malignancies. Curr Opin Otolaryngol Head Neck Surg 2014; 22(2): 154–165.
Sbaihat A, Bacciu A, Pasanisi E et al. Skull base chondrosarcomas: surgical treatment and results. Ann Otol Rhinol Laryngol 2013; 122(12): 763–770.
Gluth MB. Rhabdomyosarcoma and other pediatric temporal bone malignancies. Otolaryngol Clin North Am 2015; 48(2): 375–390.
Bockmühl U, Bruchhage KL, Enzmann H. Primary non-Hodgkin’s lymphoma of the temporal bone. Eur Arch Otorhinolaryngol 1995; 252(6): 376–378.
Modugno GC, Brandolini C, Magnani G et al. Langerhans cell histiocytosis: bilateral temporal bone involvement in an adult with diabetes insipidus. B-ENT 2010; 6(1): 67–72.
Moffat D, Jones S, Smith W. Petrous temporal bone cholesteatoma: a new classification and long-term surgical outcomes. Skull Base 2008; 18(2): 107–115.

Labels

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Inner ear disorders

Updating the nationwide methodology for hearing screening of newborns in the Czech Republic

Implantable bone conduction hearing systems

Cochlear Implantation

Differential diagnosis of ear pain

Chronic inflammation of the middle ear with cholesteatoma

Chronic secretory otitis media and tympanoplasty in children

Diagnostics of retrocochlear hearing loss

. Respiratory epithelial adenomatoid hamartoma – typical but underdiagnosed pathology of nasal cavity and sinuses

The motivation of nurses at departments of internal medicine

Article was published in

Journal of Czech Physicians

2019 Issue 6

Download issue PDF