Split-thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection.
OBJECTIVE
Use of split-thickness skin grafts (STSG) in revision canal wall-down (CWD) mastoidectomy was compared with STSG in lateral temporal bone resection (LTBR).


METHODS
A retrospective study of 11 patients undergoing revision CWD mastoidectomy and 6 patients undergoing LTBR with STSG in an academic health center setting.


RESULTS
Successful epithelialization of the mastoid cavity occurred in 9 patients (82%) undergoing CWD mastoidectomy. Subjective success, measured as reduction in complaints of otorrhea, occurred in 10 patients (91%). In the 6 patients who underwent LTBR and STSG successful epithelialization of the temporal bone defect occurred in 5 patients (83%).


CONCLUSIONS
Successful and rapid epithelialization occurred in the revision mastoidectomy cohort as well as in the primary temporal bone resection cohort.


CONCLUSIONS
Placement of STSG is a useful adjunct in revision CWD mastoidectomy as well as in primary LTBR for cancer.
Renton
John P
JP
Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Wetmore
Stephen J
SJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D004848:Epithelium / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006085:Graft Survival; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D010033:Otitis Media / Q000601:surgery; D017060:Patient Satisfaction; D012086:Reoperation; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D013701:Temporal Bone / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
D006490:Hemostatics