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

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