A Case of Repair of Retroauricular Skin Defect and Mastoid Cavity with Posterior Wall Reconstruction Using Tutoplast(R)(Allograft Cancellous Bone Chip) and Bone Dust after Canal Wall Down Mastoidectomy.
- Author:
Jung Ok SEO
1
;
Won Sang LEE
;
Jong Won YANG
;
Sang Ho JUNG
Author Information
1. Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, Korea. neoent@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Mastoid;
Allograft;
Flap;
Reconstructive surgical procedures
- MeSH:
Cholesteatoma;
Dust;
Hearing Aids;
Humans;
Male;
Mastoid;
Middle Aged;
Reconstructive Surgical Procedures;
Recurrence;
Retention (Psychology);
Skin;
Transplantation, Homologous
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2008;51(1):80-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Canal wall down mastoidectomy is often selected for the complete eradication of lesion and prevention of recurrence in patients with cholesteatoma. However, potential complications include a chronically draining cavity, retention of debris that requires frequent cleaning, difficulty with fitting a hearing aid. Aimed at solving these problems, surgeons have attempted reconstruction with a variety of techniques and materials: the reconstruction of an anatomically correct canal wall and complete obliteration of the mastoid cavity. We recently experienced a case of a retroauricular skin defect and cavity after canal wall down mastoidectomy of a 58-year-old male patient. The skin defect and cavity were repaired using a local skin flap, mastoid obliteration and posterior wall reconstruction methods using Tutoplast(R)(Allograft cancellous bone chip). We report this along with a review of literature.