Autologous bone pate in middle ear and mastoid reconstruction.

OBJECTIVE

To review outcomes of middle ear and mastoid surgery where autologous bone pate was used.

DESIGN

Retrospective review of 42 consecutive patients who underwent middle ear and mastoid reconstruction using autologous bone pate by the senior author over a three year period.

PARTICIPANTS

Patients underwent surgery for a spectrum of disease from chronic suppurative otitis media, to extensive cholesteatoma with intracranial abscess formation.

RESULTS

Autologous bone pate was used in conjunction with an anteriorly based musculo-fascial flap via a layered technique using tragal cartilage and temporalis fascia, to obliterate cavities in all patients. To date, there has been no evidence of recurrence or otorrhea in the cohort. Shallow retraction has been observed in 6.8%.

CONCLUSION

We advocate that bone pate, when used in conjunction with a middle temporal artery flap and layers of tragal cartilage and fascia, is a safe, effective treatment for problematic middle ear disease.