Osteoradionecrosis of tympanic bone: reconstruction of outer ear canal with pedicled skin flap, combined with hyperbaric oxygen therapy, in five patients
Auteur(s)
Metselaar M, Dumans AG, Huls MPC van der, Sterk W, Feenstra L
Jaartal
2015
Tijdschrift
The Journal of Laryngology & Otology, 1 of 6. 2009
Type publicatie
Case report
Onderzoek
Prospectief
Aantal
5
Selectiecriteria
long-lasting osteoradionecrosis of the outer ear canal
Methode
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.
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.
Resultaat
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.
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.
Conclusie
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.
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.
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