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Reconstruction of ear canal wall with superior pedicled composite multi-fractured osteoperiosteal flap: a new technique and preliminary outcomes

Published online by Cambridge University Press:  22 October 2021

A Özgür ,
T Yemiş ,
N F Turgut ,
D Özdemir ,
D M Mehel ,
G Akgül  and
M Çelebi
A Özgür*
Affiliation:
Department of Otorhinolaryngology, İstanbul Yeni Yüzyıl University Gaziosmanpaşa Hospital, İstanbul, Turkey
T Yemiş
Affiliation:
Department of Otorhinolaryngology, Gümüşhane State Hospital, Turkey
N F Turgut
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
D Özdemir
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
D M Mehel
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
G Akgül
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
M Çelebi
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
*
Author for correspondence: Dr A Özgür, Department of Otorhinolaryngology, Gaziosmanpaşa Hospital, İstanbul Yeni Yüzyıl University, Merkez Mah. Cukurcesme Caddesi No: 51 PB: 34245, Gaziosmanpaşa, İstanbul, Turkey E-mail: akozgur53@gmail.com
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Abstract

Objective

This study evaluated the functional results of the superior pedicled composite multi-fractured osteoperiosteal flap technique. This method is a novel technique for the reconstruction of the external auditory canal. The study also examined the effect of the superior pedicled composite multi-fractured osteoperiosteal flap technique on patients’ disease-related quality of life.

Method

A total of 37 patients who underwent the superior pedicled composite multi-fractured osteoperiosteal flap technique were enrolled in the study. Their functional hearing results and disease-related quality of life scores were evaluated.

Results

A significant improvement was observed in the patients’ hearing scores at the post-operative sixth month relative to the pre-operative period, and the patients’ disease-related quality of life increased significantly.

Conclusion

The superior pedicled composite multi-fractured osteoperiosteal flap method can be safely used, especially in patients undergoing retrograde mastoidectomy because of limited cholesteatoma. This method contributes to improving patients’ hearing levels and disease-related quality of life.

Keywords

Modified Radical MastoidectomyExternal Auditory CanalReconstruction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1105 - 1108
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr A Özgür takes responsibility for the integrity of the content of the paper

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