The Use of Temporoparietal Fascial Flap to Eliminate Wound Breakdown in Subtotal Petrosectomy for Chronic Discharging Ears

Yung, Matthew

doi:10.1097/mao.0000000000000959

Cited by 17 publications

(18 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As these patients had undergone multiple previous interventions, it is reasonable to assume that wound dehiscence/infection could be the consequence of excessive fibrous healing and vascular compromise [Postelmans et al, 2009;Vashishth et al, 2018a]. The use of an extended temporalis flap [Szymański et al, 2016;Yung, 2016] with a retroauricular S-shape incision [Szymański et al, 2016] would seem more appropriate here. Another causal possibility is biofilm persistence that could lead to disease flare-up, even in clinically inactive cholesteatoma [Lyu and Park, 2017] or after a long time [Bernardeschi et al, 2015].…”

Section: Skull Base Lesions With Preservation Of the Cn And Cochleamentioning

confidence: 99%

Evaluation of Subtotal Petrosectomy Technique in Difficult Cases of Cochlear Implantation

Grinblat

Vlad²,

Caruso³

et al. 2020

Audiol Neurotol

View full text Add to dashboard Cite

Objectives: To assess the validity of the subtotal petrosectomy (STP) technique in problematic cases of cochlear implant (CI) surgery, and review indications, outcomes, and related controversies. Study Design: This is a retrospective review of data from a private quaternary referral center of otology and skull base surgery. Patients and Methods: A review of patients who underwent CI with STP (STP-CI) as the leading approach was performed. Demographics, indications, surgical details, and main outcomes were evaluated. The surgeries performed were usually single-stage procedures encompassing a comprehensive mastoidectomy, blind sac closure of the external auditory canal (EAC), and mastoid obliteration with autologous fat. Results: A total of 107 cases were included. Mean follow-up was 7.1 years (range 1–13 years). The most frequent indication for STP-CI was chronic otitis media with/without cholesteatoma (32.7%), followed by open mastoid cavity (26.1%), and cochlear ossification (17.7%). Other difficult conditions where STP facilitates successful implantation include inner-ear malformations, temporal-bone trauma, unfavorable anatomic conditions, and revision surgery. A planned staged procedure was performed in 3 cases. The rate of major complications was 5.6% (n = 6). Three patients developed postauricular wound dehiscence which eventually resulted in device extrusion. No cases of recurrent/entrapped cholesteatoma, EAC breakdown, or meningitis were encountered. This is the largest single-center series of STP-CI reported in the literature. Conclusions: When CI is intended in technically challenging cases or associated with a high risk of complications, STP is effective and reliable. Safe implantation and excellent long-term outcomes can be achieved provided surgical steps are properly followed. Single-stage procedures can be performed in most cases, even when there is active middle-ear disease.

show abstract

Section: Skull Base Lesions With Preservation Of the Cn And Cochleamentioning

confidence: 99%

Evaluation of Subtotal Petrosectomy Technique in Difficult Cases of Cochlear Implantation

Grinblat

Vlad²,

Caruso³

et al. 2020

Audiol Neurotol

View full text Add to dashboard Cite

show abstract

“…Our experiences with another two patients con rmed high effectiveness of aps based on the frontal and parietal branches of the STA. In all our patients who underwent auricular reconstruction with the TPFC, the redness of the skin ap was apparent a few days after the surgery; according to many authors, this is a sign of an excellent blood supply and fast healing of the tissue [2,4,5,10,16,17]. Given the fast and uneventful healing, the patients after auricular reconstruction with regional aps were relatively early eligible for adjuvant treatment, such as radiotherapy and chemotherapy.…”

Section: Discussionmentioning

confidence: 80%

“…Further, Benlier reported on the use of reverse TPF with the utilization of reverse blood ow from an anastomotic network of the supratrochlear and supraorbital arteries to the frontal branch and anastomotic connection between the occipital artery and the parietal branch [2,3]. Due to all the characteristics mentioned above, the TPF has a high survivability rate and can provide an optimal blood supply for other transplanted tissues [4,5,6].…”

Section: Introductionmentioning

confidence: 99%

A novel application of temporoparietal fasciocutaneus (TPFC) and temporoparietal (TPF) pedicle flap for auricular reconstruction

Zwierz

Masna

Burduk

2021

Preprint

View full text Add to dashboard Cite

Background: Temporoparietal fasciocutaneus (TPFC) and temporoparietal (TPF) pedicle flaps play an important role among many techniques for auricular reconstruction. Because of their unique characteristics, the flaps based on the superficial temporal artery (STA) may be used for various types of reconstruction.Case series presentation: In this paper, we present several applications of the TPFC and TPF pedicle flaps in the reconstruction of defects after ear resection, including the use of the sandwich flap and preparing basis for Vistafix® system.Conclusion: Our experiences presented in this case series confirm the reconstructive potential of the flaps, also in patients in whom the Vistafix® system was used for reconstruction of the ear. In all cases described herein, the use of the pedicle flaps resulted in optimal healing and satisfactory cosmetic and functional outcomes.

show abstract

“…Many patients with cholesteatoma have Eustachian tube dysfunction which resulted in post-operative reperforation or severe retraction and adhesion of the eardrum. Although there were reports of single stage CI surgery bypassing the mastoid cavity [ 11 , 12 ], a subtotal petrosectomy with EAC closure would be a good option for CI surgery in cholesteatoma [ 3 - 5 , 13 - 15 ]. Even with this surgery, there were several reports of cholesteatoma recurrence or break down of the EAC closure [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Blind Sac Approach Using Silastic Block for Cochlear Implantation in Patients with Cholesteatoma

Lyu

Park

2017

J Audiol Otol

View full text Add to dashboard Cite

Cochlear implant (CI) surgery in cholesteatoma is challenging because of the risk of residual or recurrent infection. Although CI could be done with subtotal petrosectomy in single or staged surgery, this surgery needed additional surgical procedures to obliterate the mastoid cavity. This paper describes a new surgical technique for CI surgery in cholesteatoma without external auditory canal closure.

show abstract

The Use of Temporoparietal Fascial Flap to Eliminate Wound Breakdown in Subtotal Petrosectomy for Chronic Discharging Ears

Cited by 17 publications

References 13 publications

Evaluation of Subtotal Petrosectomy Technique in Difficult Cases of Cochlear Implantation

Evaluation of Subtotal Petrosectomy Technique in Difficult Cases of Cochlear Implantation

A novel application of temporoparietal fasciocutaneus (TPFC) and temporoparietal (TPF) pedicle flap for auricular reconstruction

Blind Sac Approach Using Silastic Block for Cochlear Implantation in Patients with Cholesteatoma

Contact Info

Product

Resources

About