Complete surgical resection with a clear microscopic margin is the preferred initial treatment objective. For small tumors, radiotherapy is an alternative.
The most widely accepted operative concept is to free the involved temporal bone from its surrounding venous sinuses, protect the internal carotid artery and brainstem and avoid injury to cranial nerves, if they are still functioning. Typically, the patient would also receive adjuvant radiotherapy. Although this approach has probably resulted in an improved quality of life for patients, the impact on survival is unknown.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.