Abstract:

Objective   To investigate the clinical application of double vascularized soft tissue flap in open radical mastoidectomy． Method   From July 2009 to June 2012, 98 otitis media patients (98ears) with cholesteatoma were treated with open radical mastoidectomy. In 52 cases (52 ears), double  vascularized soft tissue flap was tamped into mastoid cavity, while pedicled temporalis myofascial flap was applied in the other 46 cases (46 ears), as control． Result   The time to achieve a dry ear in treatment and control group were (17.07±/-1.28) days and (22.96±/- 6.21) days, respectively(P<0.05)． Conclusion   Obliteration of mastoid cavity with retroauricular vascularized soft tissue flap after open radical mastoidectomy shows the following advantages: ① maximum coverage of mastoid cavity; ② rapid re-epithelization of mastoid cavity and shortened time to obatin dry ear; ③ no further mastoid cavity cleaning.

Key words: Radical mastoidectomy, Cholesteatoma otitis media, Obliteration, vascularized soft tissue flap