Osteoradionecrosis of tympanic bone: reconstruction of outer ear canal with pedicled skin flap, combined with hyperbaric oxygen therapy, in five patients

Mick Metselaar, Ton Dumans, MPC van der Huls, Wouter Sterk, L Feenstra

Research output: Contribution to journalArticleAcademicpeer-review

15 Citations (Scopus)

Abstract

Objective: To evaluate the results of one-stage surgical repair of the meatal skin defect in patients with long-lasting osteoradionecrosis of the outer ear canal, using a postauricular, inferiorly pedicled skin flap. All patients were also treated with hyperbaric oxygen both pre- and post-operatively. Methods: A prospective study evaluating the results of a one-stage surgical procedure to repair the meatal skin defect in live patients with osteoradionecrosis of the outer car canal. All patients were treated with hyperbaric oxygen both pre- and post-operatively. Results: In four of the five patients, intact canal skin was achieved after surgery and hyperbaric oxygen therapy. One patient needed a second operation to cover a small remaining area of bare bone. In one patient, wound healing was unsatisfactory and an area of bare bone remained. Conclusion: In cases of osteoradionecrosis of the outer ear canal, the skin defect can be repaired with an inferiorly pedicled skin flap. Although not yet scientifically proven, the peri-operative application of hyperbaric oxygen may he of additional value to improve wound healing in areas of compromised tissue.
Original languageUndefined/Unknown
Pages (from-to)1114-1119
Number of pages6
JournalJournal of Laryngology and Otology
Volume123
Issue number10
DOIs
Publication statusPublished - 2009

Research programs

  • EMC OR-01-59-01
  • EMC OR-01-62-02

Cite this