Abstract Otology 2000 C04-1

Stephan Schmid MD (1), Wolfgang Draf MD, PhD, FRCS (2), Paul A. Fagan FRCS FRACS (3), Antonio Mazzoni MD (4), Pierre Rabischong Prof.Dr.med. (5), Richard Ramsden MD (6)

(1) ORL-Klinik Universitätsspital CH-Zürich
(2) Department of ENT-Diseases, Head Neck and Facial Plastic Surgery Academic Teaching Hospital D-Fulda
(3) St. Vincent's Hospital AUS-Darlinghurst/Sydney NSW
(4) Divisione ORL Ospedale Riuniti I-Bergamo
(5) Centre Propara Parc Euromédecine 263 rue du Caducée F-Montpellier Cedex 5
(6) Anson Medical Centre GB-Manchester

Malignant tumors are not very frequent in the temporal bone. The symptoms are usually not typical and therefore we are likely to diagnose the cancer in an advanced stage. The classical treatment is surgery combined with postoperative radiotherapy. Because of the close neigherbourhood to other important structures such as the facial nerv, the internal carotid artery, and the dura with the brain the surgical removal of the tumor is challenging. Every panelist will present one case of malignant tumor in the temporal bone. There will be an interactive discussion with the other panelists about the decision making process. Then the important diagnostic and therapeutic steps will be discussed to give the audience an up date of the treatment of these difficult problems.