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Abstract

A technique for repairing small to medium-sized defects in the osseous posterior superior canal resulting from pathologic or iatrogenic causes is described. Bone pate is harvested from the mastoid cortex by means of a simple collection technique. A sandwich graft composed of autologous temporalis fascia lined with bone pate is used to fill in the canal wall defect. This technique has been used successfully in 27 of 28 cases, with follow-up as long as 8 years. When fully healed, the bone graft has attained the texture and consistency of the normal osseous canal and, if necessary, can be curetted or drilled for reshaping during planned second-stage tympanomastoid surgery. The temporalis fascia/bone pate graft technique is simple, easy to learn, and has proven to be a reliable method for repairing the defects described.

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References

McCleve

: Tragal cartilage reconstruction of the auditory canal. Arch Otolaryngol 90:271–274, 1969.

Wehrs

: Results of reconstructive mastoidectomy with homograft knee cartilage. Laryngoscope 88:1912–1917, 1978.

Shea

Gardner

Simpson

: Mastoid obliteration using homogenous bone chips and autogenous bone paste. Trans Am Acad Ophthalmol Otolaryngol 76:160–172, 1972.

Pulec

Reams

: Reconstruction of radical mastoid cavities: Methods and results. Otolaryngol Clin North Am 10:529–540, 1977.

Smith

MFW

: Reconstruction of the open mastoidectomy ear. Otolaryngol Clin North Am 10:549–552, 1977.

Vase

Larsen

Walter

: Posterior meatal wall reconstruction in tympanoplasty. J Laryngol Otol 95:893–898, 1981.

Bartels

Sheehy

: Total obliteration of the mastoid, middle ear and external auditory canal. A review of 27 cases. Laryngoscope 91:1100–1108, 1981.

Pappas

Bailey

HAT

McGrew

Graham

: Homograft septal cartilage for attic support in intact canal wall tympanomas-toidectomy and tympanoplasty. Laryngoscope 91:1457–1462, 1981.

Adkins

Osguthorpe

: Prevention of recurrent cholesteatoma due to canal wall defects with a composite autograft. Presented at the Annual Meeting of the American Academy of Otolaryngology—Head and Neck Surgery, New Orleans, La, Oct. 17–21, 1982.

10.

Meuser

: Plugging the mastoid cavity with Palacos R—a new technique to avoid recurrent cholesteatoma. Clin Otolaryngol 6:87–90, 1981.

11.

Johns

: The use of Proplast in reconstruction of the posterior meatal wall. J Laryngol Otol 95:899–904, 1981.

12.

Plester

Jahnke

: Ceramic implants in otologic surgery. Am J Otol 3:104–108, 1981.

13.

Shea

: Reconstruction of the posterior canal wall with proplast. Presented at the Annual Meeting of the American Academy of Otolaryngology—Head and Neck Surgery, New Orleans, La, Oct. 17–21, 1982.

14.

Sheehy

: Surgery of chronic otitis media. In Otolaryngology, vol II, chapter 10. Hagerstown, Md, 1972, Harper & Row, Publishers, Inc. pp 1–75.

Tympanomastoid Surgery: A Technique for Repairing Posterior Osseous Canal Wall Defects with Autologous Temporalis Fascia and Bone Pâte

Abstract

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References