The Use of the Occipital Scalp Rotational Flap for Reconstruction after Lateral Temporal Bone Resection.

Abstract

Introduction: Oncologic surgery of the lateral skull base can result in complex defects exposing middle ear and mastoid contents as well as nearby dura and major neurovascular structures. Inadequate coverage can result in wound breakdown and severe complications such as osteomyelitis and meningitis, with the potential to delay adjuvant therapy. Previously described techniques such as pedicled myocutaneous flaps and free tissue transfers provide adequate soft tissue coverage, but come with significant donor site morbidity and may not be appropriate for individuals with poor baseline health status. This article describes the use of the occipital scalp rotational flap, based on the occipital artery, as an alternative reconstructive technique for lateral temporal bone defects in patients with significant medical comorbidities.