Osteoradionecrosis of the temporal bone: a surgical technique of treatment

Journal Article · Sun May 01 00:00:00 EDT 1988 · Laryngoscope; (United States)

DOI:https://doi.org/10.1288/00005537-198805000-00015· OSTI ID:6969039

Ma, K H; Fagan, P A

Osteoradionecrosis of the temporal bone is a well-documented complication of radiotherapy to the ear, with potentially lethal complications. Three cases of advanced disease, treated surgically, are presented. In two of these, subtotal petrosectomy with blind-sac closure of the external auditory canal was carried out via an anterior approach. The enclosed space was obliterated with pedicled temporalis muscle. Primary healing took place. One case was similarly obliterated using a prolonged posterior incision. The wound broke down, requiring a microvascular free flap for closure. Radiotherapy jeopardizes the viability of skin flaps. An anterior incision bases the flap behind on the occipital and postauricular arteries. When radiotherapy has been used, this incision has theoretical and practical advantages over a standard posterior incision.

• Research Organization: St. Vincent's Hospital, Sydney (Australia)
• OSTI ID: 6969039
• Journal Information: Laryngoscope; (United States), Vol. 98:5
• Country of Publication: United States
• Language: English

Related Subjects

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
AUDITORY ORGANS
BIOLOGICAL RADIATION EFFECTS
OSTEORADIONECROSIS
RADIOINDUCTION
RADIOTHERAPY
SIDE EFFECTS
RADIATION INJURIES
BIOLOGICAL EFFECTS
BODY
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INJURIES
LOCAL RADIATION EFFECTS
MEDICINE
NECROSIS
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
RADIATION EFFECTS
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SENSE ORGANS
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THERAPY
560151* - Radiation Effects on Animals- Man