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KMID : 0361020080510010080
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Korean Journal of Otolaryngology - Head and Neck Surgery
2008 Volume.51 No. 1 p.80 ~ p.83
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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
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Seo Jung-Ok
Lee Won-Sang
Jung Sang-Ho
Yang Jong-Won
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Abstract
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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.
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KEYWORD
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Mastoid, Allograft, Flap, Reconstructive surgical procedures
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