复旦大学：《耳鼻咽喉科学》课程教学资源（PPT课件讲稿，英文版）Cancer of middle ear

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