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Osteoradionecrosis of the external auditory canal: three cases involving reconstruction with transposition of a split temporalis muscle flap

Published online by Cambridge University Press:  24 July 2012

W Veneman ,
R M Metselaar ,
M J Koudstaal  and
K G H van der Wal
W Veneman*
Affiliation:
Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
R M Metselaar
Affiliation:
Department of Otorhinolaryngology, Erasmus University Medical Center, Rotterdam, The Netherlands
M J Koudstaal
Affiliation:
Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
K G H van der Wal
Affiliation:
Department of Oral and Maxillofacial Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
*
Address for correspondence: Dr Wouter Veneman, Erasmus University Medical Center, Department of Oral and Maxillofacial Surgery, 's-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands Fax: +31 (0)10 7033098 E-mail: w.veneman@erasmusmc.nl
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Abstract

Objective:

Osteoradionecrosis of the temporal bone is an uncommon but well documented finding after radiotherapy in the head and neck region, and results in exposed, necrotic bone with a soft tissue defect in the external auditory canal. The defect can be treated either conservatively or surgically. This paper aims to describe the results of reconstruction of the external auditory canal by transpositioning of the superficial layer of either the anterior or posterior part of the temporalis muscle to cover the defect.

Patients and methods:

Three patients with large, symptomatic defects in the external auditory canal were treated with transposition of the superficial layer of the temporalis muscle.

Results:

The duration of follow up was 4 to 16 months. No complications occurred. In all patients, re-epithelialisation was complete within 3 months.

Conclusion:

During reconstruction of the external auditory canal, transposition of the superficial layer of the temporalis muscle provides a reliable flap with a satisfactory outcome.

Keywords

OsteoradionecrosisEar CanalSurgical FlapTemporal Muscle
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1022 - 1026
Copyright
Copyright © JLO (1984) Limited 2012

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