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Reconstruction after temporal bone resection

T J Gal1, J E Kerschner, N D Futran

  • 1Division of Otolaryngology, University of South Florida College of Medicine, Tampa 33612, USA.

The Laryngoscope
|April 18, 1998
PubMed
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Soft tissue reconstruction after temporal bone resection varies widely. This study reviews 34 cases, detailing flap coverage methods for invasive carcinoma, including temporalis, local cutaneous, and free flaps, to guide treatment outcomes.

Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Temporal bone resections are performed for invasive carcinoma.
  • Reconstruction of resulting soft tissue defects presents surgical challenges.
  • Various techniques exist, ranging from simple closure to complex flap coverage.

Purpose of the Study:

  • To review and analyze different methods for soft tissue reconstruction after temporal bone resection.
  • To evaluate the indications and efficacy of various reconstructive techniques.
  • To present treatment outcomes for patients with invasive carcinoma of the temporal bone.

Main Methods:

  • Retrospective review of 34 patients undergoing lateral skull base resections and reconstruction between 1987 and 1996.
  • Categorization of resections into sleeve resection, lateral temporal bone resection, and subtotal temporal bone resection.

Related Experiment Videos

  • Analysis of reconstructive methods including tympanoplasty, canalplasty, obliteration, temporalis flaps, local rotational cutaneous flaps, lower island trapezius flaps, free flaps, and pectoralis major flaps.

    • Main Results:

    • Seven patients underwent sleeve resection managed with tympanoplasty, canalplasty, or obliteration.
    • Twenty-four patients had lateral temporal bone resections and four had subtotal temporal bone resections.
    • Larger defects required combined temporalis and local cutaneous flaps; other flaps (trapezius, free, pectoralis major) were also utilized.

    Conclusions:

    • The choice of reconstruction method depends on the extent of the temporal bone defect.
    • Various flap options are available for soft tissue reconstruction, each with specific indications.
    • Effective reconstruction is crucial for managing complex defects following temporal bone resection for cancer.