Transcript Cancer of middle ear

Cancer of middle ear
Chunfu Dai M.D & Ph.D
Background
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Primary tumor in middle cavity
Predilection in 40-60 y
Dominated by squamous carcinoma
Associated with chronic otitis media
Clinical presentations
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Ear discharge with blood
Otalgia and headache
Hearing loss
Facial paralysis
Dysplagia
Involvement of other cranial nerves
Metastasis to associated lymphatic node
Diagnosis
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Clinical demonstrations
Physical examination
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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
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Comprehensive therapy
Radiotherapy+surgery+chemotherapy
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Surgery
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Partial temporal bone resection
Subtotal temporal bone resection
Temporal bone resection
Basilar carcinoma: surgery, no extra radiotherapy
Rabraddmone carcinoma:
chemotherapy+radiotherapy+surgery