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首页> 外文期刊>The American journal of otology >The use of the temporoparietal fascial flap in temporal bone reconstruction.
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The use of the temporoparietal fascial flap in temporal bone reconstruction.

机译：颞顶筋膜瓣在颞骨重建中的应用。

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After routine canal wall down mastoidectomy, local muscle flaps with and without bone pate, cartilage and fascia are the standard techniques available to otologists wishing to obliterate the mastoid and reconstruct the external auditory canal. Reconstructive options for temporal bone defects after extirpative surgery for cancer, osteoradionecrosis, and revision surgery for chronic granulomatous otitis media, however, are few. Although the neighboring temporoparietal fascia flap (TPFF), based on the superficial temporal vessels, has been frequently employed for auricular reconstruction, its versatility in temporal bone reconstruction has not been widely explored. The TPFF has recently been employed at our institution in 11 patients who presented with a variety of reconstructive problems, including defects after temporal bone resection, surgery for malignant otitis externa, and revision mastoid surgery. Follow-up in these patients ranged from 1 to 43 months (average 18.4 months) and surgical objectives of achieving a dry mastoid bowl, fully epithelialized canal, and/or reduction of mastoid cavity volume was attained in 100% of cases. The TPFF offers many advantages to the otologic surgeon when faced with reconstruction dilemmas that center around a poorly vascularized mastoid cavity and temporal bone. The TPFF is a reliable source of local well-vascularized tissue that is extremely pliable and facilitates both hearing and nonhearing preservation temporal bone reconstruction.
机译：在常规的管壁乳突切除术之后，有或没有骨p，软骨和筋膜的局部肌皮瓣是希望消灭乳突并重建外耳道的耳科医生可用的标准技术。然而，对于癌症，骨放射性坏死和慢性肉芽肿性中耳炎的翻修手术，暂时性骨缺损的重建选择很少。尽管基于浅表颞血管的邻近颞顶筋膜瓣（TPFF）已被频繁用于耳廓重建，但其在颞骨重建中的多功能性尚未得到广泛研究。 TPFF最近在我们的机构中​​接受了11例患者的治疗，这些患者存在各种重建问题，包括颞骨切除后的缺损，恶性中耳炎手术和乳突翻修手术。这些患者的随访时间为1到43个月（平均18.4个月），在100％的病例中达到了实现干乳突碗，完全上皮化的根管和/或减少乳突腔体积的手术目的。 TPFF在面对以血管化不良的乳突腔和颞骨为中心的重建难题时，为耳科医生提供了许多优势。 TPFF是局部血管丰富的组织的可靠来源，该组织非常柔韧，并有助于听力和非听力的保护性颞骨重建。

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