Use of autologous osteocyte containing bone pate for closure of tegmental defects.
OBJECTIVE
This article aimed to describe a new technique for the reconstruction of middle fossa tegmental defects using autologous osteocyte containing bone pate.


METHODS
The technique is demonstrated using clinical photographs and x-ray examples of tegmental defects.


METHODS
Pliable bone pate graft is manufactured using autologous bone dust, blood, iodine solution, and tissue glue (Tisseel; Immuno, Austria). The graft is placed accurately via a combined mini-middle fossa craniotomy and middle mastoidectomy approach.


CONCLUSIONS
This new technique of middle fossa bony tegmental repair has considerable advantages over previously described methods that use rigid or synthetic materials.
Moffat
D A
DA
Department of Otoneurosurgical and Skull Base Surgery, Addenbrooke's Hospital, Cambridge, United Kingdom.
da Cruz
M J
MJ
Batten
A
A
Hardy
D G
DG
D016025:Bone Transplantation / Q000379:methods*; D002558:Cerebrospinal Fluid Otorrhea / Q000175:diagnosis / Q000601:surgery*; D003399:Craniotomy / Q000379:methods*; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008416:Mastoid / Q000601:surgery*; D010011:Osteocytes / Q000637:transplantation*; D014014:Tissue Adhesives / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous / Q000379:methods
D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives