Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-23T07:02:02.010Z Has data issue: false hasContentIssue false
  • English
  • Français

Reconstruction of ear canal wall with superior pedicled composite multi-fractured osteoperiosteal flap: a new technique and preliminary outcomes

Published online by Cambridge University Press:  22 October 2021

A Özgür ,
T Yemiş ,
N F Turgut ,
D Özdemir ,
D M Mehel ,
G Akgül  and
M Çelebi
A Özgür*
Affiliation:
Department of Otorhinolaryngology, İstanbul Yeni Yüzyıl University Gaziosmanpaşa Hospital, İstanbul, Turkey
T Yemiş
Affiliation:
Department of Otorhinolaryngology, Gümüşhane State Hospital, Turkey
N F Turgut
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
D Özdemir
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
D M Mehel
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
G Akgül
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
M Çelebi
Affiliation:
Department of Otorhinolaryngology, Samsun Health Practices and Research Center, University of Health Sciences Turkey, Turkey
*
Author for correspondence: Dr A Özgür, Department of Otorhinolaryngology, Gaziosmanpaşa Hospital, İstanbul Yeni Yüzyıl University, Merkez Mah. Cukurcesme Caddesi No: 51 PB: 34245, Gaziosmanpaşa, İstanbul, Turkey E-mail: akozgur53@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study evaluated the functional results of the superior pedicled composite multi-fractured osteoperiosteal flap technique. This method is a novel technique for the reconstruction of the external auditory canal. The study also examined the effect of the superior pedicled composite multi-fractured osteoperiosteal flap technique on patients’ disease-related quality of life.

Method

A total of 37 patients who underwent the superior pedicled composite multi-fractured osteoperiosteal flap technique were enrolled in the study. Their functional hearing results and disease-related quality of life scores were evaluated.

Results

A significant improvement was observed in the patients’ hearing scores at the post-operative sixth month relative to the pre-operative period, and the patients’ disease-related quality of life increased significantly.

Conclusion

The superior pedicled composite multi-fractured osteoperiosteal flap method can be safely used, especially in patients undergoing retrograde mastoidectomy because of limited cholesteatoma. This method contributes to improving patients’ hearing levels and disease-related quality of life.

Keywords

Modified Radical MastoidectomyExternal Auditory CanalReconstruction
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1105 - 1108
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Özgür takes responsibility for the integrity of the content of the paper

References

Dornhoffer, JL. Retrograde mastoidectomy. Otolaryngol Clin North Am 2006;39:1115–27CrossRefGoogle ScholarPubMed
Harris, AT, Mettias, B, Lesser, TH. Pooled analysis of the evidence for open cavity, combined approach and reconstruction of the mastoid cavity in primary cholesteatoma surgery. J Laryngol Otol 2016;130:235–41CrossRefGoogle ScholarPubMed
Baek, MK, Choi, SH, Kim, DY, Cho, CH, Kim, YW, Moon, KH et al. Efficacy of posterior canal wall reconstruction using autologous auricular cartilage and bone pate in chronic otitis media with cholesteatoma. J Int Adv Otol 2016;12:247–51CrossRefGoogle ScholarPubMed
Dankuc, D, Vlaski, L, Pejakovic, N. Techniques of the tympanomastoidectomy with reconstruction of the posterior bone wall of the external auditory canal. Srp Arh Celok Lek 2015;143:480–6CrossRefGoogle ScholarPubMed
Lee, HJ, Chao, JR, Yeon, YK, Kumar, V, Park, CH, Kim, HJ et al. Canal reconstruction and mastoid obliteration using floating cartilages and musculoperiosteal flaps. Laryngoscope 2017;127:1153–60CrossRefGoogle ScholarPubMed
Baetens, W, Dinther, JV, Vanspauwen, R, Maryn, Y, Zarowski, A, Offeciers, E. Health related quality of life after the bony obliteration tympanoplasty for COM with cholesteatoma using the COMQ12 - a disease specific PROM. J Int Adv Otol 2019;15:396–9CrossRefGoogle ScholarPubMed
van Dinther, J, Droessaert, V, Camp, S, Vanspauwen, R, Maryn, Y, Zarowski, A et al. Validity and test-retest reliability of the Dutch version of the Chronic Otitis Media Questionnaire 12 (COMQ-12). J Int Adv Otol 2015;11:248–52CrossRefGoogle Scholar
Ito, K, Toma-Hirano, M, Yasui, T. Successful posterior canal wall reconstruction with tissue-engineered cartilage. OTO Open 2019;3:2473974X19825628CrossRefGoogle ScholarPubMed
Ucar, C. Canal wall reconstruction and mastoid obliteration with composite multi-fractured osteoperiosteal flap. Eur Arch Otorhinolaryngol 2006;263:1082–6CrossRefGoogle ScholarPubMed
Liu, SC, Wang, CH, Huang, BR. Obliteration of radical cavities and total reconstruction procedure without staging after canal wall down mastoidectomy: long-term results. Clin Exp Otorhinolaryngol 2015;8:230–6CrossRefGoogle ScholarPubMed
Qotb, M, Fawzy, T, Ragab, W. Single stage canal wall down mastoidectomy with reconstruction of the canal wall: 5 years' experience in fayoum province, Egypt. J Int Adv Otol 2017;13:181–5CrossRefGoogle ScholarPubMed
Doerfer, KW, Friedland, DR. Outcomes following modified tympanomastoidectomy with soft-wall reconstruction. Otol Neurotol 2018;39:1139–46CrossRefGoogle ScholarPubMed
Muzaffar, J, Metcalfe, C, Colley, S, Coulson, C. Diffusion-weighted magnetic resonance imaging for residual and recurrent cholesteatoma: a systematic review and meta-analysis. Clin Otolaryngol 2017;42:536–43CrossRefGoogle ScholarPubMed
Doruk, C, Celik, M, Kara, H, Polat, B, Guldiken, Y, Orhan, KS. Turkish translation and validation of Chronic Otitis Media Questionnaire-12. Turk Arch Otorhinolaryngol 2019;57:24–9CrossRefGoogle ScholarPubMed