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개방형 유양동 삭개술 이후 재발한 만성 진주종성 중이염 환자의 실라스틱판을 이용한 외이도 성형술 및 후이개 유양동 누공의 측두근막 피판술을 이용한 치료 1예

정상환1, 권민한1, 이진오1, 이원용1,*
Sang Hwan Jung1, Min Han Kwon1, Jin Oh Yi1, Won Yong Lee1,*
Author Information & Copyright
1왈레스기념 침례병원 이비인후과
1Department of Otolaryngology-Head and Neck Surgery, Wallace Memorial Baptist Hospital, Busan, Korea
*교신저자: 이원용, 609-728 부산광역시 금정구 남산동 374-75 왈레스기념 침례병원 이비인후과 전화: (051) 580-1344·전송: (051) 514-2864 E-mail: fiance81@hanmail.net

© Copyright 2010 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 01, 2010; Revised: Feb 22, 2010; Accepted: Mar 26, 2010

Published Online: May 31, 2020

ABSTRACT

Canal wall down technique may offer excellent exposure during operation and remove the lesion more easily, but may result other serous problem such as chronically draining cavity, dizziness, difficulty with fitting of a hearing aid and need for regular care of the mastoid bowl. Among of them, postauricular mastoid fistula is the unusual complication case that difficult to treat due to the surrounding necrotic skin edge. Recently many various techniques are introduced to repair mastoid fistula including simple closure, bone or cartilage graft and muscle flap coverage. However these techniques have their limitations in reconstruction mastoid fistula as well as some disadvantages. We report a method of superficial temporalis fascia transposition flap and external auditory canal reconstruction using silastic sheet has been performed successfully without complication. We consider these techniques to be a satisfactory procedure in postauricular cutaneous mastoid fistula which was caused by previous canal wall down mastoidectomy. (J Clinical Otolaryngol 2010;21:79-83)

Keywords: 후이개 누공; 측두근막 피판; 실라스틱판; 외이도 성형술
Keywords: Mastoiditis; Cutaneous mastoid fistula; Surgical flap