The occipital flap for reconstruction after lateral temporal bone resection

Michael Moore, Derrick T. Lin, Anthony A. Mikulec, Michael J. McKenna, Mark A. Varvares

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To investigate the use of the occipital rotational flap as an alternative reconstructive technique following lateral temporal bone resection. Methods: A retrospective medical record review of 10 patients who underwent reconstruction with an occipital rotational flap after auriculectomy or lateral temporal bone resection. Patient and operative variables included age, preoperative ASA (American Society of Anesthesiologists) classification, operative time, total length of hospital stay, and use of preoperative and postoperative radiotherapy. Patient demographic characteristics and medical comorbidities were also recorded. Clinical outcomes included medical complications, minor and major wound complications, and donor site complications. Results: Patients' mean age was 73.9 years, and mean ASA classification was 2.8. The mean operative time was 8.1 hours, and the mean length of hospital stay was 5.3 days. Three patients received preoperative radiotherapy, and 7 received postoperative radiotherapy. Two patients developed postoperative medical complications, 2 developed minor wound breakdown, and 1 developed a donor site complication. Conclusion: The occipital flap method is reliable and should be considered as an option for reconstruction after lateral temporal bone resection in select patients.

Original languageEnglish (US)
Pages (from-to)587-591
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume134
Issue number6
DOIs
StatePublished - Jun 1 2008
Externally publishedYes

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Temporal Bone
Length of Stay
Radiotherapy
Operative Time
Tissue Donors
Wounds and Injuries
Medical Records
Comorbidity
Demography

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology
  • Medicine(all)

Cite this

The occipital flap for reconstruction after lateral temporal bone resection. / Moore, Michael; Lin, Derrick T.; Mikulec, Anthony A.; McKenna, Michael J.; Varvares, Mark A.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 134, No. 6, 01.06.2008, p. 587-591.

Research output: Contribution to journalArticle

Moore, Michael ; Lin, Derrick T. ; Mikulec, Anthony A. ; McKenna, Michael J. ; Varvares, Mark A. / The occipital flap for reconstruction after lateral temporal bone resection. In: Archives of Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 134, No. 6. pp. 587-591.
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