Tsitsiou Y, Mantelakis A, Joshi A
Imperial School of Medicine, Imperial College Healthcare NHS Trust, London, UK.
Department of Ear, Nose and Throat Surgery, Lewisham and Greenwich NHS Trust, London, UK.
J Laryngol Otol. 2020 Aug 10:1-3. doi: 10.1017/S0022215120001498.
Post-auricular mastoid fistula is a rare occurrence. It typically appears following repeated soft tissue injury, and is commonly caused by chronic suppurative otitis media and repeated surgical treatments. Management is challenging, with few reported successful surgical techniques, which often have limited applicability.
This paper presents the case of a 58-year-old male with a persistent right-sided post-auricular cutaneous mastoid fistula resulting from two previous mastoidectomies. Although the patient underwent two simple primary closures, the fistula recurred. This was successfully treated with a new technique utilising a sternocleidomastoid rotational and cervical-fascial advancement flap, which was completely healed at the one-year follow up without a recurrence of the fistula.
This novel technique provided definitive obliteration of a persistent cutaneous mastoid fistula. Utilising a double-layered flap and a facelift incision results in excellent functional and cosmetic outcomes.
耳后乳突瘘是一种罕见的病症。它通常在反复软组织损伤后出现，常见病因是慢性化脓性中耳炎和反复的手术治疗。其治疗具有挑战性，报道的成功手术技术很少，且通常适用性有限。
本文介绍了一名58岁男性的病例，其右侧耳后皮肤乳突瘘持续存在，是由之前两次乳突切除术导致的。尽管患者接受了两次简单的一期缝合，但瘘管仍复发。采用胸锁乳突肌旋转和颈筋膜推进皮瓣的新技术成功治疗了该瘘管，在一年的随访中完全愈合，瘘管未复发。
这种新技术成功消除了持续性皮肤乳突瘘。使用双层皮瓣和面部提升切口可带来出色的功能和美容效果。
