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Related Experiment Videos

The Singapore swing

A G Gibb1, K K Tan, R S Sim

  • 1Department of Otolaryngology, National University of Singapore, Singapore.

The Journal of Laryngology and Otology
|June 1, 1997
PubMed
Summary
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The novel Singapore Swing flap promotes healing in open mastoid surgery for chronic ear discharge. This technique, using temporalis fascia and mastoid periosteum, demonstrated high success rates in initial patient trials.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Regenerative Medicine

Background:

  • Chronic ear discharge often necessitates open mastoid surgery.
  • Achieving complete healing and preventing complications post-surgery remains a challenge.
  • Existing surgical techniques may have limitations in promoting rapid wound closure.

Purpose of the Study:

  • To introduce and evaluate a new surgical technique, the 'Singapore Swing' flap, for enhancing healing in open mastoid surgery.
  • To assess the vascularity and feasibility of the Singapore Swing flap.
  • To determine the efficacy of the flap in managing chronic ear discharge.

Main Methods:

  • The study describes the 'Singapore Swing' flap, a rotation pedicled flap composed of temporalis fascia and mastoid periosteum.

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  • Cadaveric dissections were performed to identify the primary blood supply, originating from the postauricular artery.
  • A retrospective review of the first 14 patient cases utilizing the technique was conducted.

    • Main Results:

    • The Singapore Swing flap demonstrated complete healing in all 14 reviewed cases.
    • All patients achieved dry ears with intact tympanic membranes post-surgery.
    • Three cases required secondary grafting for residual perforations, indicating a high success rate.

    Conclusions:

    • The Singapore Swing flap is a promising new method for promoting healing in open mastoid surgery.
    • The flap's robust blood supply ensures effective tissue viability and wound closure.
    • Further extended trials are warranted to validate the technique's long-term efficacy and applicability.