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

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作  者:Saro-Buendía Miguel Andresen-Lorca Belén Pérez-García Alberto Llópez Carratala Nacho Carreres Polo Joan Armengot Carceller Miguel Perolada Valmaña Jose María 

机构地区:[1]Department of Otorhinolaryngology,University and Polytechnic Hospital La Fe,València,Spain [2]Department of Plastic Surgery,University and Polytechnic Hospital La Fe,València,Spain [3]Department of Radiology,University and Polytechnic Hospital La Fe,València,Spain [4]Department de Cirugía,Facultat de Medicina i Odontología,Universidad de València,España

出  处:《Journal of Otology》2025年第2期123-126,共4页中华耳科学杂志(英文版)

摘  要: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.

关 键 词:OSTEORADIONECROSIS Osteoradionecrosis of the temporal bone Temporal bone resection Gracilis muscular free flap Head and neck radiotherapy Head and neck reconstructive surgery Vascularized flap obliteration 

分 类 号:R739.8[医药卫生—肿瘤]

 

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