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  • Title: Split-thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection.
    Author: Renton JP, Wetmore SJ.
    Journal: Otolaryngol Head Neck Surg; 2006 Sep; 135(3):387-91. PubMed ID: 16949969.
    Abstract:
    OBJECTIVES: Use of split-thickness skin grafts (STSG) in revision canal wall-down (CWD) mastoidectomy was compared with STSG in lateral temporal bone resection (LTBR). STUDY DESIGN AND SETTING: A retrospective study of 11 patients undergoing revision CWD mastoidectomy and 6 patients undergoing LTBR with STSG in an academic health center setting. RESULTS: Successful epithelialization of the mastoid cavity occurred in 9 patients (82%) undergoing CWD mastoidectomy. Subjective success, measured as reduction in complaints of otorrhea, occurred in 10 patients (91%). In the 6 patients who underwent LTBR and STSG successful epithelialization of the temporal bone defect occurred in 5 patients (83%). CONCLUSIONS: Successful and rapid epithelialization occurred in the revision mastoidectomy cohort as well as in the primary temporal bone resection cohort. SIGNIFICANCE: Placement of STSG is a useful adjunct in revision CWD mastoidectomy as well as in primary LTBR for cancer.
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