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Abstract

Objectives

Use of split-thickness skin grafts (STSG) in revision canal wall-down (CWD) mastoidectomy was compared with STSG in lateral temporal bone resection (LTBR).

Study Design and Setting

A retrospective study of 11 patients undergoing revision CWD mastoidectomy and 6 patients undergoing LTBR with STSG in an academic health center setting.

Results

Successful epithelialization of the mastoid cavity occurred in 9 patients (82%) undergoing CWD mastoidectomy. Subjective success, measured as reduction in complaints of otorrhea, occurred in 10 patients (91%). In the 6 patients who underwent LTBR and STSG successful epithelialization of the temporal bone defect occurred in 5 patients (83%).

Conclusions

Successful and rapid epithelialization occurred in the revision mastoidectomy cohort as well as in the primary temporal bone resection cohort.

Significance

Placement of STSG is a useful adjunct in revision CWD mastoidectomy as well as in primary LTBR for cancer.

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References

Beales

PH.

The problem of the mastoid segment after tympanoplasty. J Laryngol Otol 1959;73:527–31.

Beales

Hynes

Rapid healing after mastoid surgery by the use of the post-auricular flap. J Laryngol Otol 1958;72:888–901.

Palva

Pulkkinen

Hearing after surgery in chronically discharging ears. II Radical Operation. Acta Otolaryngol 1960;51:175–85.

Nadol

JB.

Causes of failure of mastoidectomy for chronic otitis media. Laryngoscope 1985;95:410–3.

Rambo

JH.

The use of musculoplasty: advantages and disadvantages. Ann Otol Rhinol Laryngol 1965;74:535–54.

Bocca

Guilford

Rambo

Panel on surgical approach, cavity management, and postoperative care in ear surgery. Arch Otolaryngol 1963;78:350–8.

Young

Temporal bone histopathology of open mastoidectomy cavities. J Laryngol Otol 1993;107:569–73.

Guilford

FR.

Controlled cavity healing after mastoid and fenestration operations. Arch Otolaryngol 1960;71:165–71.

Sade

Weinberg

Berco

The marsupialized (radical) mastoid. J Laryngol Otol 1982;96:869–75.

10.

Osborne

Terry

Gandhi

AG.

Large meatoplasty technique for mastoid cavities. Clin Otolaryngol 1985;10:357–60.

11.

Mills

Phil

Surgical management of the discharging mastoid cavity. J Laryngol Otol 1988;16(suppl):1–6.

12.

Premachandra

Woodward

Milton

Long-term results of mastoid cavities grafted with cultured epithelium prepared from autologous epidermal cells to prevent chronic otorrhea. Laryngoscope 1993;103:1121–5.

13.

Takeda

Saito

Takeuchi

Pinch grafting of the open mastoid cavity. Auris Nasus Larynx 1991;18:9–15.

14.

Walsh

Davies

McGlashan

The role of the Davis graft technique in the treatment of chronic post-mastoidectomy otorrhea. Clin Otolaryngol 1996;21:162–7.

15.

Morris

Mitchell

Snell

Contemporary skin grafting in otologic surgery. Ear Nose Throat J 1992;71:652–4.

16.

Woodruff

MFA.

The transplantation of tissues and organs. Springfield, IL: Charles C. Thomas; 1960.

17.

Ballantyne

RR.

Skin grafts. In: McCarthy

, editor. Plastic surgery. Philadelphia: W.B. Saunders; 1990. p. 221–74.

18.

Dagget

Bateman

GH.

Secondary Thierch grafting of the radical mastoid cavity through the meatus. J Laryngol Otol 1934;49:169–74.

19.

Pillsbury

Carrasco

VN.

Revision mastoidectomy. Arch Otolaryngol Head Neck Surg 1990;116:1019–22.

Split-thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection