Hostname: page-component-cb9f654ff-hn9fh Total loading time: 0 Render date: 2025-08-19T02:30:37.886Z Has data issue: false hasContentIssue false
  • English
  • Français

A simple reconstructive procedure for radiation-induced necrosis of the external auditory canal

Published online by Cambridge University Press:  29 June 2007

D. S. Hill ,
M. N. Gaze  and
H. R. Grant
D. S. Hill*
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray' Inn Road, London, UK.
M. N. Gaze
Affiliation:
The Meyerstein Institute of Oncology, The Middlesex Hospital, London, UK.
H. R. Grant
Affiliation:
Royal National Throat Nose and Ear Hospital, Gray' Inn Road, London, UK.
*
Address for correspondence: Mr D. S. Hill, F.R.C.S., 35 Twisden Road, Kentish Town, London NW5 1DL.
Get access Rights & Permissions [Opens in a new window]

Abstract

Localized necrosis of the bone, cartilage, and soft tissue of the external auditory canal is an uncommon side effect of radiotherapy to the parotid region. Five patients developed late onset skin necrosis of a quadrant of the ear canal secondary to an underlying osteoradionecrosis of the tympanic ring. We report a one-stage procedure to excise the necrotic tissue and replace it with a local rotational flap derived from the post-auricular skin. Otological side effects of radiotherapy are discussed.

Keywords

Ear, canalSurgical flapsRadiotherapy, high-energyParotid neoplasms

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 12 , December 1998 , pp. 1142 - 1146
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Adler, A. M., Hawke, M., Berger, G., Harwood, A. (1985) Radiation effects on the external auditory canal. Journal of Otolaryngology 14: 226–232.Google ScholarPubMed
Anteunis, L. J. C., Wanders, S. L., Hendriks, J. J. T., Langendijk, J. A., Manni, J. J., de Jong, J. M. (1994) A prospective longitudinal study on radiation-induced hearing loss. American Journal of Surgery 168: 408–411.CrossRefGoogle ScholarPubMed
Esser, J. F. S. (n.d.; prob 1936) Biological Artery Flaps of the Face. Institut Esser de Chirurgie Structive, Monaco.Google Scholar
Guida, R. A., Finn, D. G., Buchaltar, I. H., Brookler, K. H., Kimmelman, C. P. (1990) Radiation injury of the temporal bone. American Journal of Otology 11: 6–11.Google ScholarPubMed
Gyorkey, I., Pollock, F. J. (1960) Radiation necrosis of the ossicles. Archives of Otolaryngology 71: 793.Google Scholar
John, D. G., Porter, M. J., van Hasselt, C. A. (1993) Beware bleeding from the ear. Journal of Laryngology and Otology 107: 137–139.CrossRefGoogle ScholarPubMed
Ma, K. H., Fagan, P. A. (1988) Osteoradionecrosis of the temporal bone: a surgical technique of treatment. Laryngoscope 98: 554–556.Google Scholar
Macomber, W. B., Wang, M. K. H., Lueders, H. W. (1958) Reconstruction of the traumatically stenosed external auditory canal. Plastic and Reconstructive Surgery 22: 168–173.CrossRefGoogle ScholarPubMed
Maran, A. G. D., Gaze, M., Wilson, J. A. (1993) Stell and Maran's Head and Neck Surgery. Butterworth-Heinemann Ltd., Oxford, pp 31, 286.Google Scholar
Owens, N. (1959) An effective method for closing defects of the external auditory canal. Plastic and Reconstructive Surgery 23: 381–387.CrossRefGoogle ScholarPubMed
Pennisi, V. R., Klabunde, E. H., Pierce, G. W. (1965) The preauricular flap. Plastic and Reconstructive Surgery 35: 552–556.CrossRefGoogle ScholarPubMed
Rampling, R., Catterall, M. (1984) Facial nerve damage in the treatment of tumours of the parotid gland. Clinical Oncology 10: 345–351.Google Scholar
Ramsden, R. T., Bulman, C. H., Lorigan, B. P. (1975) Osteoradionecrosis of the temporal bone. Journal of Laryngology and Otology 89: 941–955.Google Scholar
Renard, A. (1981) Postauricular flap based on a dermal pedicle for ear reconstruction. Plastic and Reconstructive Surgery 68: 159–164.CrossRefGoogle ScholarPubMed
Schuknecht, H. F., Karmody, C. S. (1966) Radionecrosis of the temporal bone. Laryngoscope 76: 1416–1428.Google Scholar
Siirala, U. (1949) Plastic correction of congenital atresia of the external auditory meatus combined with fenestration to improve hearing. Archives of Otolaryngology 37: 307–314.CrossRefGoogle ScholarPubMed
Stauch, B., Vasconez, L. O., Hall-Findlay, E. J. (1982) Grabb's Encyclopedia of Flaps. Little, Brown and Co., Boston, pp 319–321.Google Scholar
Yuen, P. W., Wei, W. I. (1994) Tympanomastoidectomy for chronic suppurative otitis media of irradiated ears of nasopharyngeal carcinoma patients. Journal of Otolaryngology 23: 302–304.Google Scholar