13 results match your criteria temporal musculoperiosteal

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Post-operative healing and long-term stability after mastoid cavity reconstruction using the middle temporal artery and inferior musculoperiosteal flaps.

Eur Arch Otorhinolaryngol 2021 Feb 15. Epub 2021 Feb 15.

Department of Otorhinolaryngology, Head & Neck Surgery, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.

Purpose: This study aims to evaluate the surgical outcomes with the use of a combination of the middle temporal artery (MTA) flap and the inferior musculoperiosteal (IMP) flap for mastoid obliteration after canal wall down mastoidectomy.

Methods: Seventy-five patients who have undergone canal wall down mastoidectomy and mastoid obliteration with the MTA and the IMP flaps at a single tertiary hospital were included. Surgical outcomes measured included the creation of a dry mastoid cavity as measured by a previously developed semi-quantitative scale, mastoid cavity epithelization time, rate of revision surgery needed, and rate of recurrent cholesteatoma. Read More

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February 2021

[How to create a self-cleaning open mastoid cavity].

Laryngorhinootologie 2011 Jan 10;90(1):6-8. Epub 2011 Jan 10.

Our experience from multiple open mastoid cavity revisions is that some of the well-proven techniques to create a self-cleaning small open cavity are not anymore practiced everywhere.The crucial steps are to considerably drill down the facial ridge, as well as the lateral bone (to the level of the sigmoid sinus) and - in cases of a well pneumatized mastoid - to ground down the mastoid tip. The bony rims should be smoothened with a diamond burr. Read More

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January 2011

Extensive external auditory canal cholesteatoma in the infratemporal area without mastoid involvement: use of a new surgical technique.

Ear Nose Throat J 2010 Sep;89(9):438-42

Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Kangwon, Republic of Korea.

The external auditory canal (EAC) is an unusual location for a cholesteatoma. We present the cases of 2 patients with EAC cholesteatoma who experienced extensive damage that extended from the inferior EAC wall to the infratemporal area; there was no mastoid involvement. In both cases, the cholesteatomas were removed under local anesthesia and the inferior canal wall was reconstructed with a technique that involved the placement of a pedicled musculoperiosteal flap, a cartilage graft, and a full-thickness skin graft. Read More

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September 2010

The use of pedicled temporal musculoperiosteal flap with or without free calvarial bone graft in maxillary reconstructions.

Eur Arch Otorhinolaryngol 2010 Aug 16;267(8):1299-304. Epub 2010 Mar 16.

Department of Otorhinolaryngology, Head and Neck Surgery, Turku University Central Hospital, 20520 Turku, Finland.

Various techniques have been used to repair maxillary defects. The aim of this study was to evaluate the suitability of pedicled temporal musculoperiosteal flap (PTMF) and free calvarial bone graft for the reconstruction of maxillary defects. In this retrospective series, 34 patients operated on from 1995 to 2006 at Turku University Central Hospital because of defects of maxilla reconstructed using PTMF with or without free calvarial bone graft were evaluated. Read More

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Obliteration of the persistently discharging mastoid cavity using the middle temporal artery flap.

Otolaryngol Head Neck Surg 2007 Sep;137(3):433-8

Department of Otolaryngology, St. Michaels Hospital, Bristol, United Kingdom.

Objective: To evaluate the surgical outcome of patients undergoing obliteration of a persistently discharging mastoid cavity with specific soft tissue vascular flaps for chronic otitis media or cholesteatoma.

Study Design: A five-year retrospective consecutive case review in a tertiary care referral center. Following mastoidectomy obliteration with a superiorly based middle temporal artery, axial periosteal flap and inferiorly based random pedicled musculoperiosteal flap was performed. Read More

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September 2007

[Immediate and long-term results of plastic reconstruction of soft tissues of the head and neck in areas previously treated with surgery for tumor and radiation injury].

Vopr Onkol 2005 ;51(6):662-6

The efficiency was studied of vascularized tissue complexes in 346 cancer patients with extensive facial injuries to the head and neck who had undergone combined treatment. Free microsurgical autotransplantation was carried out in 7 (2%) patients, deltapectoral graft--151 (44%), sternocleidomastoid myocutaneous flap--39 (11%), pectoralis major flap--10 (3%), bi- and tri-lobed flap--55 (16%), temporal musculoperiosteal flap--25 (7%), cheek flap--24 (6.9%), thoraco-dorsal axillary flap--24 (6. Read More

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October 2006

Temporal fascial periosteal and musculoperiosteal flaps in the pig: design and blood flow assessment.

J Craniofac Surg 1995 Nov;6(6):466-70; discussion 471-2

Toronto Craniofacial Unit, Hospital for Sick Children, Ontario, Canada.

The availability of a vascularized periosteal flap with bone-forming potential could greatly enhance the reconstructive capabilities of the craniofacial surgeon. Previous observations seem to indicate that the bone-forming potential of periosteal flaps depends on the vascularity of the flap. The purpose of the present experiment was to design temporal fascial periosteal and musculoperiosteal flaps in the pig and to compare the periosteal blood flow with unoperated periosteum in the same location. Read More

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November 1995

Transplantation of the canine distal ulna as a free vascularized bone graft.

Vet Surg 1995 May-Jun;24(3):215-25

Department of Veterinary Anesthesiology, Radiology and Surgery, Western College of Veterinary Medicine, Saskatoon, Saskatchewan, Canada.

An autogenous free vascular bone graft of the canine distal ulna was evaluated. The vascularity of the graft was based on a musculoperiosteal sheath supplied solely by the caudal interosseous artery and vein. Four autogenous heterotopic (ulna to tibia) vascular transfers were performed. Read More

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September 1995

Reconstruction of the maxilla with a double musculoperiosteal flap in connection with a composite calvarial bone graft.

R Ewers

Plast Reconstr Surg 1988 Mar;81(3):431-6

Department of Oral and Maxillofacial Surgery, Kiel University Medical School, West Germany.

A new technique is shown for a one-stage reconstruction of the mucosa of the floors of the nose and maxillary sinus, the bone structures of the maxilla and the hard palate, as well as the mucosal layers of the hard and soft palates and vestibulum. To accomplish this coverage, a vascularized calvarial bone graft with temporal muscle from one side is combined with a vascularized temporal muscle flap from the other side to achieve a three-layer "sandwich" plasty. The advantage of this procedure is reconstruction of the complete maxillary defect with the possibility of denture rehabilitation and the avoidance of oronasal fenestration. Read More

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Use of a temporal musculoperiosteal flap in the treatment of craniofacial abnormalities: experimental study.

Plast Reconstr Surg 1984 Sep;74(3):355-61

In 15 juvenile Yorkshire pigs averaging 23.5 kg in weight, 15 periosteal flaps based on the temporal muscle were raised on each side. One side served as control after the temporal arteries were severed. Read More

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September 1984

The meatally based musculoperiosteal flap in cavity obliteration.

T Palva J Mäkinen

Arch Otolaryngol 1979 Jul;105(7):377-80

A meatally based musculoperiosteal flap that was formed for radical mastoid cavity obliteration was deliberately excised during revision surgery in three cases of recurring tympanic cholesteatoma. The flaps, which contained subcutaneous connective tissue, were well vascularized and contained large, viable muscle bundles and many nerve trunks from the postauricular branch of the facial nerve. In two cases, the periosteum-attached bone chips that had been removed from the patient's mastoid tip region and implanted to form a new bony canal wall were viable and gave the intended support for the meatus after radical ear surgery. Read More

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Mastoid Obliteration. Histopathologucal Study of Three Temporal Bones.

Arch Otolaryngol 1975 May;101(5):271-3

Three temporal bones were serially sectioned to study the postoperative fate of the meatally based postauricular musculoperiosteal flap. In all three ears, the flap sealed off the middle ear effectively from the mastoid cavity and in one, with resected canal wall, formed a new soft posterior wall with good meatus. All flaps contained viable muscle, fat, collagen, reticulin, and elastin, and were richly vascularized. Read More

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