Radical mastoid cavity reconstruction--the pedicled musculofascial flap.

This paper reports a new procedure used successfully in the reconstruction of 12 radical mastoid cavities in King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. A composite pedicled flap composed of temporalis muscle and its fascia attached along one border, based posteriorly, is rotated in to the radical cavity. The muscle is used to obliterate the cavity and the fascia is hinged forward as a tympanic membrane graft.