개방형 유양동 삭개술 후 발생한 후이개측 피부결손 및 공동을 피부피판과 Tutoplast(Allograft Cancellous Bone Chip)을 이용하여 치험한 1예
A Case of Repair of Retroauricular Skin Defect and Mastoid Cavity with Posterior Wall Reconstruction Using Tutoplast？(Allograft cancellous Bone Chip) and Bone Dust after Canal Wall Down Mastoidectomy
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Canal wall down mastoidectomy is often selected for the complete eradication of lesion and prevention of recurrence in patients with cholesteatoma. However, potential complications include a chronically draining cavity, retention of debris that requires frequent cleaning, difficulty with fitting a hearing aid. Aimed at solving these problems, surgeons have attempted reconstruction with a variety of techniques and materials：the reconstruction of an anatomically correct canal wall and complete obliteration of the mastoid cavity. We recently experienced a case of a retroauricular skin defect and cavity after canal wall down mastoidectomy of a 58-year-old male patient. The skin defect and cavity were repaired using a local skin flap, mastoid obliteration and posterior wall reconstruction methods using Tutoplast®(Allograft cancellous bone chip). We report this along with a review of literature. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:80-3)
Abstract
Canal wall down mastoidectomy is often selected for the complete eradication of lesion and prevention of recurrence in patients with cholesteatoma. However, potential complications include a chronically draining cavity, retention of debris that requires frequent cleaning, difficulty with fitting a hearing aid. Aimed at solving these problems, surgeons have attempted reconstruction with a variety of techniques and materials：the reconstruction of an anatomically correct canal wall and complete obliteration of the mastoid cavity. We recently experienced a case of a retroauricular skin defect and cavity after canal wall down mastoidectomy of a 58-year-old male patient. The skin defect and cavity were repaired using a local skin flap, mastoid obliteration and posterior wall reconstruction methods using Tutoplast®(Allograft cancellous bone chip). We report this along with a review of literature. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:80-3)
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