Postauricular Cutaneous Mastoid Fistula Closure with Combination of Bilobed Flap and Fibro-Muscular-Periosteal Flap: A Case Series

Ratna Restuti, Ayu Sriyana, Harim Priyono, Rangga Saleh

Research output: Contribution to journalArticlepeer-review

Abstract

Chronic suppurative otitis media (CSOM) with cholesteatoma can present with intratemporal complications such as postauricular subperiosteal abscess with or without fistula. In some postauricular cutaneous mastoid fistula cases, direct closure of the wound is not possible due to skin tension, leading to skin necrosis and postoperative recurrent cutaneous fistula. Here, we describe a surgical technique using a combination of a bilobed flap and a fibro-muscular-periosteal flap for fistula closure on a 31-year-old and a 35-year-old female with postauricular cutaneous mastoid fistula due to CSOM. All patients were successfully managed with no fistula recurrence.

Original languageEnglish
Pages (from-to)116-119
Number of pages4
JournalIndian Journal of Otology
Volume27
Issue number2
DOIs
Publication statusPublished - 1 Apr 2021

Keywords

  • Bilobed flap
  • cholesteatoma
  • chronic suppurative otitis media
  • postauricular cutaneous mastoid fistula

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