En bloc mastoidectomy to avoid postoperative retroauricular deformity in the transpetrosal approach

The authors describe a surgical technique to avoid postoperative retroauricular deformity following the transpetrosal approach. After removing a one-piece temporal and suboccipital bone flap, the mastoid process is cut obliquely by using a sagittal saw towards an imaginary line drawn from the point...

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Veröffentlicht in:Journal of clinical neuroscience 1998-10, Vol.5 (4), p.432-433
Hauptverfasser: Taguchi, Yoshio, Matsuzawa, Motoshi, Sakakibara, Youtaro, Sekino, Hiroaki
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container_end_page 433
container_issue 4
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container_title Journal of clinical neuroscience
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creator Taguchi, Yoshio
Matsuzawa, Motoshi
Sakakibara, Youtaro
Sekino, Hiroaki
description The authors describe a surgical technique to avoid postoperative retroauricular deformity following the transpetrosal approach. After removing a one-piece temporal and suboccipital bone flap, the mastoid process is cut obliquely by using a sagittal saw towards an imaginary line drawn from the point on the petrous ridge just lateral to the arcuate eminence to the burr hole opened medial to the occipital groove. This technique allows en bloc removal of the mastoid process without resulting bone defects. Three patients who were treated with this technique and followed up for more than 1 year showed good cosmetic results with no complications including cerebrospinal fluid leakage. We believe this en bloc mastoidectomy offers a definite advantage in regard to avoid postoperative retroauricular deformity.
doi_str_mv 10.1016/S0967-5868(98)90279-X
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subjects Biological and medical sciences
mastoidectomy
Medical sciences
Neurosurgery
Skull, brain, vascular surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
surgical approach
transpetrosal approach
title En bloc mastoidectomy to avoid postoperative retroauricular deformity in the transpetrosal approach
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