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JOHN S. LEWIS, MD; ROY PAGE, MD

Arch Otolaryngol. 1966;83(2):114-119.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

MANY YEARS have passed since the first radical surgical procedures were carried out for cancer of the ear. In 1954, Parsons and myself^1,2 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 . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

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

Footnotes
Submitted for publication June 30, 1965.

Read before the joint meeting of the Triological Society and Section on Laryngology of the American Medical Association, June 1965, New York.

Reprint requests to 3 E 71st St, New York 10021 (Dr. Lewis).

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