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Osteoradionecrosis of tympanic bone: reconstruction of outer ear canal with pedicled skin flap, combined with hyperbaric oxygen therapy, in five patients

Published online by Cambridge University Press:  16 July 2009

M Metselaar ,
A G Dumans ,
M P C van der Huls ,
W Sterk  and
L Feenstra
M Metselaar*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
A G Dumans
Affiliation:
Department of Oral and Maxillofacial Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
M P C van der Huls
Affiliation:
Institute for Hyperbaric Medicine, Hoogeveen, The Netherlands
W Sterk
Affiliation:
Institute for Hyperbaric Medicine, Hoogeveen, The Netherlands
L Feenstra
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
*
Address for correspondence: Dr Mick Metselaar, Erasmus MC, Dept of Otolaryngology, Head and Neck Surgery, ’s Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands. E-mail: r.m.metselaar@erasmusmc.nl
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Abstract

Objective:

To evaluate the results of one-stage surgical repair of the meatal skin defect in patients with long-lasting osteoradionecrosis of the outer ear canal, using a postauricular, inferiorly pedicled skin flap. All patients were also treated with hyperbaric oxygen both pre- and post-operatively.

Methods:

A prospective study evaluating the results of a one-stage surgical procedure to repair the meatal skin defect in five patients with osteoradionecrosis of the outer ear canal. All patients were treated with hyperbaric oxygen both pre- and post-operatively.

Results:

In four of the five patients, intact canal skin was achieved after surgery and hyperbaric oxygen therapy. One patient needed a second operation to cover a small remaining area of bare bone. In one patient, wound healing was unsatisfactory and an area of bare bone remained.

Conclusion:

In cases of osteoradionecrosis of the outer ear canal, the skin defect can be repaired with an inferiorly pedicled skin flap. Although not yet scientifically proven, the peri-operative application of hyperbaric oxygen may be of additional value to improve wound healing in areas of compromised tissue.

Keywords

External Ear CanalOsteoradionecrosisHyperbaric OxygenationOtologic Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1114 - 1119
Copyright
Copyright © JLO (1984) Limited 2009

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