JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (6): 13-16.doi: 10.6040/j.issn.1673-3770.0.2015.183

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Application of pedicle temporal muscle flap in the treatment of secondary radical mastectomy

LI Dongfang   

  1. Department of Otolaryngology, Anqiu People's Hospital, Anqiu 262199, Shandong, China
  • Received:2015-05-07 Online:2015-12-16 Published:2015-12-16

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Abstract: Objective To explore the clinical application of mastoid cavity packing by retroauricular pedicle fascia-temporalis muscle flap in secondary open radical mastoidectomy. Methods A total of 20 patients (20 ears) who had undergone open radical mastoidectomy received secondary open radical mastoidectomy due to long-time wet seepage of their ears. Of them, 10 received open radical mastoidectomy (RM) and 10 received open radical mastoidectomy with mastoid packing operation (CWDM). All CWDM operations adopted retroauricular pedicle fascia-temporalis muscle flap mastoid cavity packing. Results All cases were followed up for 2 years. The average time of ear drying was (58.4±4.45)d and (29.6±2.37)d in RM group and CWDM group, respectively. The average return visit frequency was (17.1±2.33) and (6.1±1.52) times in RM group and CWDM group, respectively. One case in the RM group had wet ear continuously. There was no wet ear and relapsing after operation in the CWDM group. CWDM group had a shorter ear drying time and lower return visit frequency than the RM group (P<0.001). Conclusion CWDM is superior to RM in ear drying time, return visit frequency and relapsing after operation and other indicators. The mastoid cavity packing by retroauricular pedicle fascia-temporalis muscle flap has a good effect.

Key words: Radical mastoidectomy, Secondary operation, Packing, Fascia-temporalis muscle flap

CLC Number: 

  • R764.9
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