Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan.
Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan.
Auris Nasus Larynx. 2021 Oct;48(5):830-833. doi: 10.1016/j.anl.2021.01.008. Epub 2021 Jan 13.
To present our results of the external auditory canal (EAC) reconstruction procedure using rolled-up full-thickness skin graft with tympanoplasty after lateral temporal bone resection (LTBR) for early-stage EAC carcinoma.
A retrospective review of 15 patients who had undergone LTBR with reconstruction of the EAC for T1 and T2 EAC cancer between 2016 and 2020.
Postoperative mean air-bone gap was 30.7 decibel hearing level. Although a few patients experienced chronic granulation, persistent otorrhea, and/or laterization of the tympanic membrane, most patients showed no serious complications related to the EAC reconstruction.
EAC reconstruction using a full-thickness skin graft in combination with tympanoplasty is useful for minimizing the hearing loss, maintaining the cosmetic appearance, and facilitating the observation into the ear cavity.
介绍我们在颞骨外侧切除（LTBR）后进行鼓室成形术的同时，使用卷起的全厚皮片移植重建外耳道（EAC），治疗早期外耳道癌的结果。
回顾性分析了 2016 年至 2020 年间 15 例行 LTBR 并重建 EAC 治疗 T1 和 T2 期外耳道癌的患者。
术后平均气骨导差为 30.7 分贝听力级。尽管少数患者出现慢性肉芽、持续性耳漏和/或鼓膜后期化，但大多数患者未出现与 EAC 重建相关的严重并发症。
使用全厚皮片移植联合鼓室成形术重建 EAC 有助于最大限度地减少听力损失、保持美容外观，并便于观察耳道。
