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

Published online by Cambridge University Press:  06 June 2019

A L Pendolino ,
C Pavone  and
E Zanoletti
A L Pendolino*
Affiliation:
Department of Neurosciences, Otolaryngology Section, University of Padova, Italy
C Pavone
Affiliation:
Department of Neurosciences, Otolaryngology Section, University of Padova, Italy
E Zanoletti
Affiliation:
Department of Neurosciences, Otolaryngology Section, University of Padova, Italy
*
Author for correspondence: Dr Alfonso Luca Pendolino, Dept of Neurosciences (DNS), Otolaryngology Section, University of Padova, Via Giustiniani 2, 35128 Padova, Italy E-mail: alucapendolino@gmail.com Fax: +39 049 8213113
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Abstract

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.

Keywords

CholesteatomaCutaneous FistulaMastoidTympanoplastyHearing Loss
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 8 , August 2019 , pp. 723 - 726
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A L Pendolino takes responsibility for the integrity of the content of the paper

References

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