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February 1966

Radical Surgery for Malignant Tumors of the Ear

Author Affiliations

From the Head and Neck Service, Memorial Hospital, New York.

Arch Otolaryngol. 1966;83(2):114-119. doi:10.1001/archotol.1966.00760020116007

MANY YEARS have passed since the first radical surgical procedures were carried out for cancer of the ear. In 1954, Parsons and myself1,2 followed the initial efforts of Campbell et al3 and carried out a one-stage intracranial-extracranial operation. Since that time some 58 procedures of this type have been performed for advanced ear cancer. The development of a combined intracranial-extracranial procedure was based on the complicated surgical anatomy of this area.

The petrous pyramid lies in a venous lake comprised of lateral sinus, superior and inferior petrosal sinuses. The internal carotid system courses medially near the petrous tip. One must at once expect the sacrifice of the facial nerve. The vagus and hypoglossal nerves extend near the margins of resection at the base of the skull. The jugular bulb in its fossa has a variable position and is more liable to trauma in certain individuals.

Sacrifice of an

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