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  3. Novel Approach to Osteoradionecrosis of the Temporal Bone: Vascularized Obliteration with Gracilis Muscular Free Flap.

Novel Approach to Osteoradionecrosis of the Temporal Bone: Vascularized Obliteration with Gracilis Muscular Free Flap.

Fecha de publicación: Fecha Ahead of Print:

Autores de IIS La Fe

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Abstract

Osteoradionecrosis of the temporal bone (ORN-TB) is usually controlled with conservative measures. However, a temporal bone resection may be required in unresponsive cases. The reconstruction of the resulting defects may be challenging because of the radiation damage to regional tissues. As a result, distant free flaps may be an optimal choice. For instance, the gracilis muscular free flap (GMFF) has consistent vascular anatomy and can be used to reconstruct small defects. We report three cases of uncontrolled ORN-TB requiring an extensive temporal bone resection followed by vascularized obliteration with a GMFF. The patients reported complete control of the main otologic symptoms (otorrhea, otalgia, and aural fullness) and optimal functional and aesthetic outcomes. Finally, the patients reported significant improvement in quality of life despite early postoperative complications. To our knowledge, the GMFF had not been used to obliterate temporal bone defects in patients with ORN-TB.

© 2025 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Publishing services by Tsinghua University Press.

Datos de la publicación

ISSN/ISSNe:
1672-2930, 1672-2930

Journal of Otology  TSINGHUA UNIV PRESS

Tipo:
Article
Páginas:
123-126
PubMed:
41069696
Factor de Impacto:
0,540 SCImago ℠
Cuartil:
Q2 SCImago ℠

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Keywords

  • Gracilis muscular free flap; Head and neck radiotherapy; Head and neck reconstructive surgery; Osteoradionecrosis; Osteoradionecrosis of the temporal bone; Temporal bone resection; Vascularized flap obliteration

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