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1 results

  • Fibro-muscular-periosteal flap and bilobed flap for post-auricular cutaneous mastoid fistula closure

  • A L Pendolino, C Pavone, E Zanoletti
  • Journal:
    The Journal of Laryngology & Otology / Volume 133 / Issue 8 / August 2019
    Published online by Cambridge University Press:
    06 June 2019, pp. 723-726
    Print publication:
    August 2019
  • Background

    A post-auricular cutaneous mastoid fistula is a rare condition that can occur following radical mastoid surgery, chronic suppurative otitis media or spontaneous exteriorisation of cholesteatoma from the mastoid through the post-auricular skin surface. Management of a post-auricular cutaneous mastoid fistula can be challenging for the surgeon.

    Objective

    This paper describes a surgical refinement for post-auricular cutaneous mastoid fistula closure, involving a fibro-muscular-periosteal flap to cover the mastoid cavity, combined with a bilobed flap from the mastoid and lateral neck regions for skin closure.

    Method and results

    A case of a post-auricular cutaneous mastoid fistula developed after revision tympanoplasty for a cholesteatoma. The condition was successfully treated with the presented technique. Pre- and post-operative photographs are provided for demonstration.

    Conclusion

    The fibro-muscular-periosteal flap combined with a bilobed flap from the mastoid and lateral neck regions, in our view, can be considered a valid option for post-auricular cutaneous mastoid fistula closure.