Reconstruction of the external auditory canal using full-thickness rolled-up skin graft after lateral temporal bone resection for T1 and T2 external auditory canal cancer

Takeshi Fujita; Akinobu Kakigi; Natsumi Uehara; Jun Yokoi; Makiko Hara; Hirotaka Shinomiya; Masanori Teshima; Ken-Ichi Nibu

doi:10.1016/j.anl.2021.01.008

Reconstruction of the external auditory canal using full-thickness rolled-up skin graft after lateral temporal bone resection for T1 and T2 external auditory canal cancer

Auris Nasus Larynx. 2021 Oct;48(5):830-833. doi: 10.1016/j.anl.2021.01.008. Epub 2021 Jan 13.

Authors

Takeshi Fujita¹, Akinobu Kakigi², Natsumi Uehara², Jun Yokoi², Makiko Hara², Hirotaka Shinomiya², Masanori Teshima², Ken-Ichi Nibu²

Affiliations

¹ Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan. Electronic address: fujitake@med.kobe-u.ac.jp.
² Department of Otorhinolaryngology Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunokicho, Chuoku, Kobe, Hyogo 650-0017, Japan.

PMID: 33454142
DOI: 10.1016/j.anl.2021.01.008

Abstract

Objective: To present our results of the external auditory canal (EAC) reconstruction procedure using rolled-up full-thickness skin graft with tympanoplasty after lateral temporal bone resection (LTBR) for early-stage EAC carcinoma.

Patients and methods: A retrospective review of 15 patients who had undergone LTBR with reconstruction of the EAC for T1 and T2 EAC cancer between 2016 and 2020.

Results: Postoperative mean air-bone gap was 30.7 decibel hearing level. Although a few patients experienced chronic granulation, persistent otorrhea, and/or laterization of the tympanic membrane, most patients showed no serious complications related to the EAC reconstruction.

Conclusion: EAC reconstruction using a full-thickness skin graft in combination with tympanoplasty is useful for minimizing the hearing loss, maintaining the cosmetic appearance, and facilitating the observation into the ear cavity.

Keywords: Ear cancer; External auditory canal cancer; Lateral temporal bone resection; Skin flap reconstruction.

MeSH terms

Aged
Aged, 80 and over
Audiometry, Pure-Tone
Carcinoma, Adenoid Cystic / pathology
Carcinoma, Adenoid Cystic / surgery*
Ear Canal / surgery*
Ear Neoplasms / pathology
Ear Neoplasms / surgery*
Female
Granulation Tissue
Hearing Loss, Conductive / epidemiology
Humans
Male
Middle Aged
Otologic Surgical Procedures / methods
Plastic Surgery Procedures / methods
Postoperative Complications / epidemiology
Skin Transplantation / methods*
Squamous Cell Carcinoma of Head and Neck / pathology
Squamous Cell Carcinoma of Head and Neck / surgery*
Temporal Bone / surgery*
Tympanoplasty / methods*