Abstract
Postauricular Advancement Flap for Closure of Persistent Mastoid Cutaneous Fistula
Highlights
Postauricular mastoid cutaneous fistula is an unusual complication of chronic otitis media (COM) and a rare complication of cholesteatoma
Muscle flap can undergo denervation atrophy[2,4]. Some techniques such as Vira and Andrew technique may not be applicable where conchal cartilage is already used in previous tympanomastoidectomy that is complicated by postauricular mastoid cutaneous fistula[3]
Postauricular mastoid cutaneous fistula is rare and it is difficult to prescribe any technique as one-size-fits-all for all cases of mastoid cutaneous fistula
Summary
Postauricular mastoid cutaneous fistula is an unusual complication of chronic otitis media (COM) and a rare complication of cholesteatoma. Post-aural discharge and cosmetic applications are the two complications that often need medical assistance for closure. Post auricular mastoid cutaneous fistula is commonly unilateral, but bilateral occurrence complicating cholesteatoma has been reported[1]. Several surgical techniques have been proposed for closure of mastoid cutaneous fistulas.
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