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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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References

1Metselaar, M, Dumans, AG, van der Huls, MP, Sterk, W, Feenstra, L. Osteoradionecrosis of tympanic bone: reconstruction of outer ear canal with pedicled skin flap, combined with hyperbaric oxygen therapy, in five patients. J Laryngol Otol 2009;123:1114–19CrossRefGoogle ScholarPubMed
2Ramsden, R. Osteoradionecrosis of the temporal bone. J Laryngol Otol 1975;89:941–55CrossRefGoogle ScholarPubMed
3Hill, DS, Gaze, MN, Grant, HR. A simple reconstructive procedure for radiation-induced necrosis of the external auditory canal. J Laryngol Otol 1998;112:1142–65CrossRefGoogle ScholarPubMed
4Spiegelberg, L, Djasim, UM, van Neck, HW, Wolvius, EB, van der Wal, KG. Hyperbaric oxygen therapy in the management of radiation-induced injury in the head and neck region: a review of the literature. J Oral Maxillofac Surg 2010;68:1732–9CrossRefGoogle ScholarPubMed
5Ewing, J. Radiation osteitis. Acta Radiol 1926;6:399–412CrossRefGoogle Scholar
6Dallan, I, Lenzi, R, Sellari-Franceschini, S, Tschabitscher, M, Muscatello, L. Temporalis myofascial flap in maxillary reconstruction: anatomical study and clinical application. J Craniomaxillofac Surg 2009;37:96–101CrossRefGoogle ScholarPubMed
7Abul-Hassan, HS, Von Drasek, AG, Acland, RD. Surgical anatomy and blood supply of the fascial layers of the temporal region. Plast Reconstr Surg 1986;77:17–28Google ScholarPubMed
8Clauser, L, Curioni, C, Spanio, S. The use of the temporalis muscle flap in facial and craniofacial reconstructive surgery. A review of 182 cases. J Craniomaxillofac Surg 1995;23:203–14CrossRefGoogle ScholarPubMed
9Smith, JE, Ducic, Y, Adelson, R. The utility of the temporalis muscle flap for oropharyngeal, base of tongue, and nasopharyngeal reconstruction. Otolaryngol Head Neck Surg 2005;132:373–80CrossRefGoogle ScholarPubMed
10Curi, MM, Dib, LL, Kowalski, LP. Management of refractory osteoradionecrosis of the jaws with surgery and adjunctive hyperbaric oxygen. Int J Oral Maxillofac Surg 2000;29:430–4CrossRefGoogle ScholarPubMed
11Peleg, M, Lopez, EA. The treatment of osteoradionecrosis of the mandible: the case for hyperbaric oxygen and bone graft reconstruction. J Oral Maxillofac Surg 2006;64:956–60CrossRefGoogle ScholarPubMed