Autologous bone pate in middle ear and mastoid reconstruction

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

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.

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

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%.

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.