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Year : 2018  |  Volume : 24  |  Issue : 3  |  Page : 194-198

Mastoid cavity obliteration using bone pate and ribbon-like temporalis muscle flap: Our experience

Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, Uttarakhand, India

Correspondence Address:
Dr. V P Singh
Department of ENT, Shri Mahant Indiresh Hospital, Dehradun, Uttarakhand
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/indianjotol.INDIANJOTOL_36_18

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Objective: The aim of this study was to elucidate a mix of bone pate with ribbon-like temporalis muscle flap for mastoid cavity obliteration after mastoid surgery to avoid mastoid cavity problems. Materials and Methods: In 54 patients of unsafe chronic suppurative otitis media, canal wall down mastoidectomy was done, size of the cavity assessed and ribbon-like temporalis muscle flap with bone pate used for mastoid cavity obliteration. Follow-up was done at 3 weeks, 3 months and then at 6 months. Results: Dry cavity with success rate of 83% is achieved with temporalis muscle flap technique of mastoid cavity obliteration. Conclusion: A mix of bone pate to obliterate the small spaces in the mastoid cavity along with a ribbon-like temporalis muscle flap is effective method of mastoid cavity obliteration as it gives a dry ear, is not bulky and most importantly maintains the canal.

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