Cancer of of middle e ear Chunfu dai m,d ph. d
Cancer of middle ear Chunfu Dai M.D & Ph.D
Background Primary tumor in middle cavity Predilection in 40-60 y Dominated by squamous carcinoma Associated with chronic otitis media
Background ◼ Primary tumor in middle cavity ◼ Predilection in 40-60 y ◼ Dominated by squamous carcinoma ◼ Associated with chronic otitis media
Clinical presentations Ear discharge with blood Otalgia and headache Hearing loss Facial paralysis Dysphagia Involvement of other cranial nerves Metastasis to associated lymphatic node
Clinical presentations ◼ Ear discharge with blood ◼ Otalgia and headache ◼ Hearing loss ◼ Facial paralysis ◼ Dysplagia ◼ Involvement of other cranial nerves ◼ Metastasis to associated lymphatic node
Diagnosis clinical demonstrations Physical examination Neoplasm in middle ear s Hemorrhage CT MRi, to determine the extension of mass Biopsy, to make histological diagnosis Genernal examination to exclude remote metastasis
Diagnosis ◼ Clinical demonstrations ◼ Physical examination ◼ Neoplasm in middle ear ◼ Hemorrhage ◼ CT, MRI: to determine the extension of mass ◼ Biopsy: to make histological diagnosis ◼ Genernal examination: to exclude remote metastasis
Intervention Comprehensive therapy Radiotherapy +surgery+chemotherapy Surgery Partial temporal bone resection Subtotal temporal bone resection Temporal bone resection Basilar carcinoma: surgery, no extra radiotherapy Rabraddmone carcinoma chemotherapy +radiotherapy+surgery
Intervention ◼ Comprehensive therapy Radiotherapy+surgery+chemotherapy ◼ Surgery ◼ Partial temporal bone resection ◼ Subtotal temporal bone resection ◼ Temporal bone resection ◼ Basilar carcinoma: surgery, no extra radiotherapy ◼ Rabraddmone carcinoma: chemotherapy+radiotherapy+surgery
