Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess

Squamous cell carcinoma of the temporal bone is a rare and destructive malignancy and represents both diagnostic and therapeutic challenge. The complex regional anatomy of the temporal bone requires equally intricate surgical techniques to adequately resect the tumour mass during surgical excision....

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Main Author: Thomas B. Layton
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/7054943
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author Thomas B. Layton
author_facet Thomas B. Layton
author_sort Thomas B. Layton
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description Squamous cell carcinoma of the temporal bone is a rare and destructive malignancy and represents both diagnostic and therapeutic challenge. The complex regional anatomy of the temporal bone requires equally intricate surgical techniques to adequately resect the tumour mass during surgical excision. Adjuvant radiotherapy is offered to patients with advanced disease and has been showed to confer a survival benefit in carefully selected patients. One feared complication of radiotherapy is osteoradionecrosis and is a major obstacle faced in the treatment of head and neck cancers. The case presented here is a rare example of a patient who was successfully treated for SCC of the temporal with both surgical resection and adjuvant radiotherapy who subsequently developed two major complications: first, osteoradionecrosis of the temporal bone that leads to penetrating osteomyelitis; second, the formation of a large cerebellar abscess that required surgical drainage. This case is a rare example of the complications that are possible following radiotherapy to the head and the close follow-up that is required in patients.
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spelling doaj-art-61ef0ef312fd4b61b5372820223264e92025-02-03T01:09:30ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/70549437054943Osteoradionecrosis of the Temporal Bone Leading to Cerebellar AbscessThomas B. Layton0Faculty of Life Sciences, University of Manchester, Manchester M13 9PL, UKSquamous cell carcinoma of the temporal bone is a rare and destructive malignancy and represents both diagnostic and therapeutic challenge. The complex regional anatomy of the temporal bone requires equally intricate surgical techniques to adequately resect the tumour mass during surgical excision. Adjuvant radiotherapy is offered to patients with advanced disease and has been showed to confer a survival benefit in carefully selected patients. One feared complication of radiotherapy is osteoradionecrosis and is a major obstacle faced in the treatment of head and neck cancers. The case presented here is a rare example of a patient who was successfully treated for SCC of the temporal with both surgical resection and adjuvant radiotherapy who subsequently developed two major complications: first, osteoradionecrosis of the temporal bone that leads to penetrating osteomyelitis; second, the formation of a large cerebellar abscess that required surgical drainage. This case is a rare example of the complications that are possible following radiotherapy to the head and the close follow-up that is required in patients.http://dx.doi.org/10.1155/2017/7054943
spellingShingle Thomas B. Layton
Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
Case Reports in Otolaryngology
title Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
title_full Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
title_fullStr Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
title_full_unstemmed Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
title_short Osteoradionecrosis of the Temporal Bone Leading to Cerebellar Abscess
title_sort osteoradionecrosis of the temporal bone leading to cerebellar abscess
url http://dx.doi.org/10.1155/2017/7054943
work_keys_str_mv AT thomasblayton osteoradionecrosisofthetemporalboneleadingtocerebellarabscess