Novel Approach to Osteoradionecrosis of the Temporal Bone:Vascularized Obliteration with Gracilis Muscular Free Flap
Saro-Buendía Miguel1
Andresen-Lorca Belén2
Pérez-García Alberto2
Llópez Carratala Nacho1
Carreres Polo Joan3
Armengot Carceller Miguel1
Perolada Valmaña Jose María1
1.Department of Otorhinolaryngology,University and Polytechnic Hospital La Fe,València,Spain;Department de Cirugía,Facultat de Medicina i Odontología,Universidad de València,España2.Department of Plastic Surgery,University and Polytechnic Hospital La Fe,València,Spain3.Department of Radiology,University and Polytechnic Hospital La Fe,València,Spain
摘要：Osteoradionecrosis of the temporal bone(ORN-TB)is usually controlled with conservative measures.However,a temporal bone resection may be required in unresponsive cases.The reconstruction of the resulting defects may be challenging because of the radiation damage to regional tissues.As a result,distant free flaps may be an optimal choice.For instance,the gracilis muscular free flap(GMFF)has consistent vascular anatomy and can be used to reconstruct small defects.We report three cases of uncontrolled ORN-TB requiring an extensive temporal bone resection followed by vascularized obliteration with a GMFF.The patients reported complete control of the main otologic symptoms(otorrhea,otalgia,and aural fullness)and optimal functional and aesthetic outcomes.Finally,the patients reported significant improvement in quality of life despite early postoperative complications.To our knowledge,the GMFF had not been used to obliterate temporal bone defects in patients with ORN-TB.
机标关键词：radionovelwithapproachboneflapfreegracilis
论文发表日期：2025-04-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 123-126 )
英文信息