Faculty Collaboration Database

Reconstruction after temporal bone resection. Laryngoscope 1998 Apr;108(4 Pt 1):476-81

Date

04/18/1998

Pubmed ID

9546255

DOI

10.1097/00005537-199804000-00003

Scopus ID

2-s2.0-0000788176 (requires institutional sign-in at Scopus site)   50 Citations

Abstract

Reconstruction of soft tissue defects after temporal bone resection can vary from simple closure of the external auditory canal to complex flap coverage of extensive defects. Between 1987 and 1996, 34 patients underwent lateral skull base resections and reconstruction for invasive carcinoma of the temporal bone. Seven underwent sleeve resection and/or radical mastoidectomy. Sleeve resection was managed with tympanoplasty, canalplasty, or obliteration of the external auditory canal (10). There were 24 lateral temporal bone resections and four subtotal temporal bone resections. Larger defects created by lateral and subtotal temporal bone resections required closure with a combination of temporalis flaps and local rotational cutaneous flaps (13). Lower island trapezius flaps (five), free flaps (four), and pectoralis major flaps (two) were also used. Indications and efficacy of each method are discussed, and treatment outcomes are presented.

Author List

Gal TJ, Kerschner JE, Futran ND, Bartels LJ, Farrior JB, Ridley MB, Klotch DW, Endicott JN

Author

Joseph E. Kerschner MD Provost, Executive Vice President, Dean, Professor in the School of Medicine Administration department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Carcinoma
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Ear Canal
Ear Neoplasms
Female
Humans
Male
Mastoid
Middle Aged
Muscle, Skeletal
Neoplasm Invasiveness
Osteotomy
Parotid Neoplasms
Pectoralis Muscles
Retrospective Studies
Skin Neoplasms
Skin Transplantation
Skull Base
Skull Neoplasms
Surgical Flaps
Temporal Bone
Temporal Muscle
Treatment Outcome
Tympanoplasty