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Updated: Jul 20, 2026
Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
Split-thickness skin grafting in postmastoidectomy revision and in lateral temporal bone resection
John P Renton1, Stephen J Wetmore
1Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
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.