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Titolo:
THE USE OF THE TEMPOROPARIETAL FASCIAL FLAP IN TEMPORAL BONE RECONSTRUCTION
Autore:
CHENEY ML; MEGERIAN CA; BROWN MT; MCKENNA MJ; NADOL JB;
Indirizzi:
MASSACHUSETTS EYE & EAR INFIRM,DEPT OTOLARYNGOL,243 CHARLES ST BOSTONMA 02114 HARVARD UNIV,SCH MED,DEPT OTOL & LARYNGOL BOSTON MA 00000
Titolo Testata:
The American journal of otology
fascicolo: 1, volume: 17, anno: 1996,
pagine: 137 - 142
SICI:
0192-9763(1996)17:1<137:TUOTTF>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
NECK RECONSTRUCTION; EAR RECONSTRUCTION; HEAD;
Keywords:
TEMPOROPARIETAL FASCIAL FLAP; TEMPORAL BONE; RECONSTRUCTION; MASTOIDITIS; OSTEORADIONECROSIS OF TEMPORAL BONE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
M.L. Cheney et al., "THE USE OF THE TEMPOROPARIETAL FASCIAL FLAP IN TEMPORAL BONE RECONSTRUCTION", The American journal of otology, 17(1), 1996, pp. 137-142

Abstract

After routine canal wall down mastoidectomy, local muscle flaps with and without bone pate, cartilage and fascia are the standard techniques available to otologists wishing to obliterate the mastoid and reconstruct the external auditory canal. Reconstructive options for temporalbone defects after extirpative surgery for cancer, osteoradionecrosis, and revision surgery for chronic granulomatous otitis media, however, are few. Although the neighboring temporoparietal fascia flap (TPFF), based on the superficial temporal vessels, has been frequently employed for auricular reconstruction, its versatility in temporal bone reconstruction has not been widely explored. The TPFF has recently been employed at our institution in 11 patients who presented with a varietyof reconstructive problems, including defects after temporal bone resection, surgery for malignant otitis externa, and revision mastoid surgery. Follow-up in these patients ranged from 1 to 43 months (average 18.4 months) and surgical objectives of achieving a dry mastoid bowl, fully epithelialized canal, and/or reduction of mastoid cavity volume was attained in 100% of cases. The TPFF offers many advantages to the otologic surgeon when faced with reconstruction dilemmas that center around a poorly vascularized mastoid cavity and temporal bone. The TPFFis a reliable source of local well-vascularized tissue that is extremely pliable and facilitates both hearing and nonhearing preservation temporal bone reconstruction.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/10/20 alle ore 11:53:19