The Pedicled Superficial Temporalis Fascial Flap: A New Method for Reconstruction in Otologic Surgery

2002 ◽  
Vol 126 (5) ◽  
pp. 538-547 ◽  
Author(s):  
Krista L. Olson ◽  
Spiros Manolidis
Keyword(s):  
Surface Area ◽  
Blood Supply ◽  
Temporal Artery ◽  
New Method ◽  
Temporal Region ◽  
Temporalis Fascia ◽  
Middle Temporal ◽  
Otologic Surgery ◽  
Fascial Flap

OBJECTIVES: Our goal was to describe a novel fascial flap of the temporal region and its use for reconstruction in otologic and neurotologic surgery. METHODS: The superficial temporalis fascia has an axial blood supply derived from the middle temporal artery and can be raised independently from the overlying temporoparietal fascia or the underlying deep temporalis fascia. This flap was used on 15 consecutive patients to solve a wide variety of reconstructive problems after otologic procedures. RESULTS: No additional morbidity was observed from the use of this flap. There were no complications related to the reconstruction. Adequate exposure for raising this flap was obtained using standard incisions for the otologic procedures. Follow-up ranges from 2 to 25 months. CONCLUSIONS: This fascial flap provides a wide surface area of tissue on a narrow-based pedicle capable of a wide arc of rotation. It provides thin, pliable tissue that can be adapted to the needs of various reconstructive otologic/neurotologic problems.

Anatomic basis of the middle temporal artery periosteal rotational flap in otologic surgery

2015 ◽  
Vol 126 (6) ◽  
pp. 1426-1432 ◽  
Author(s):  
Garrick D. Talmage ◽  
Jumin Sunde ◽  
David D. Walker ◽  
Marcus D. Atlas ◽  
Michael B. Gluth
Keyword(s):  
Temporal Artery ◽  
Middle Temporal ◽  
Otologic Surgery ◽  
Rotational Flap ◽  
Anatomic Basis

The Singapore swing

1997 ◽  
Vol 111 (6) ◽  
pp. 527-530 ◽  
Author(s):  
Alan G. Gibb ◽  
Kun Kiaang Tan ◽  
Roland S. T. Sim
Keyword(s):  
Blood Supply ◽  
Complete Healing ◽  
Pedicled Flap ◽  
New Method ◽  
Temporalis Fascia ◽  
Cadaver Studies ◽  
Mastoid Surgery ◽  
Extended Trial ◽  
Tympanic Membranes

AbstractThe use of a rotation pedicled flap, entitled the ‘Singapore Swing’, comprising temporalis fascia and mastoid periosteum, is presented as a new method of promoting healing in ‘open’ mastoid surgery for chronic ear discharge. Cadaver studies show that the main blood supply of the flap is derived from a branch of the postauricular artery which enters the pedicle near the mastoid tip. A review of the first 14 operations showed complete healing with dry ears and intact tympanic membranes in all instances, three cases requiring secondary grafting of residual perforations. We consider the results sufficiently encouraging to merit an extended trial ofthe technique.

Obliteration of the Persistently Discharging Mastoid Cavity using the Middle Temporal Artery Flap

2007 ◽  
Vol 137 (3) ◽  
pp. 433-438 ◽  
Author(s):  
Vivian Singh ◽  
Marcus Atlas
Keyword(s):  
Primary Outcome ◽  
Topical Therapy ◽  
Tertiary Care ◽  
Chronic Otitis Media ◽  
Temporal Artery ◽  
Mastoid Cavity ◽  
Case Review ◽  
Periosteal Flap ◽  
Middle Temporal

OBJECTIVE: To evaluate the surgical outcome of patients undergoing obliteration of a persistently discharging mastoid cavity with specific soft tissue vascular flaps for chronic otitis media or cholesteatoma. STUDY DESIGN: A five-year retrospective consecutive case review in a tertiary care referral center. Following mastoidectomy obliteration with a superiorly based middle temporal artery, axial periosteal flap and inferiorly based random pedicled musculoperi-osteal flap was performed. The primary outcome was control of suppuration and the creation of a dry, low-maintenance cavity as assessed by a semi-quantitative scale. RESULTS: A total of 51 consecutive patients undergoing revision mastoidectomy with obliteration were identified with a minimum follow-up of 12 months; 43 (84%) had a small dry healthy mastoid cavity; three ears (6%) had occasional otorrhea that was relatively easily managed by topical therapy. CONCLUSION: Obliteration using the middle temporal artery and inferior random flaps is an effective method to manage patients with pre-existing cavities and also those not previously operated upon.

scholarly journals Is Periodontitis a Predictor for an Adverse Outcome in Patients Undergoing Coronary Artery Bypass Grafting? A Pilot Study

2021 ◽  
Vol 10 (4) ◽  
pp. 818
Author(s):  
Stefan Reichert ◽  
Susanne Schulz ◽  
Lisa Friebe ◽  
Michael Kohnert ◽  
Julia Grollmitz ◽  
...  
Keyword(s):  
Risk Factor ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Surface Area ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Cabg Surgery

Periodontitis is a risk factor for atherosclerosis and coronary vascular disease (CVD). This research evaluated the relationship between periodontal conditions and postoperative outcome in patients who underwent coronary artery bypass grafting (CABG). A total of 101 patients with CVD (age 69 years, 88.1% males) and the necessity of CABG surgery were included. Periodontal diagnosis was made according to the guidelines of the Centers for Disease Control and Prevention (CDC, 2007). Additionally, periodontal epithelial surface area (PESA) and periodontal inflamed surface area (PISA) were determined. Multivariate survival analyses were carried out after a one-year follow-up period with Cox regression. All study subjects suffered from periodontitis (28.7% moderate, 71.3% severe). During the follow-up period, 14 patients (13.9%) experienced a new cardiovascular event (11 with angina pectoris, 2 with cardiac decompensation, and 1 with cardiac death). Severe periodontitis was not significant associated with the incidence of new events (adjusted hazard ratio, HR = 2.6; p = 0.199). Other risk factors for new events were pre-existing peripheral arterial disease (adjusted HR = 4.8, p = 0.030) and a history of myocardial infarction (HR = 6.1, p = 0.002). Periodontitis was not found to be an independent risk factor for the incidence of new cardiovascular events after CABG surgery.

A new method using MRI to delineate areas of head and neck cancer targeted by intra-arterial infusion via a superficial temporal artery

Oral Oncology ◽  
2011 ◽  
Vol 47 (5) ◽  
pp. 387-390 ◽  
Author(s):  
Tatsuya Nakamura ◽  
Nobukazu Fuwa ◽  
Kanako Takayama ◽  
Takuya Tomoda ◽  
Akinori Takada ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Superficial Temporal Artery ◽  
Temporal Artery ◽  
New Method ◽  
Arterial Infusion

scholarly journals Results-Based Project Follow-Up

2020 ◽  
Vol 11 (2) ◽  
pp. 14-30
Author(s):  
Gideon Mekonnen Jonathan
Keyword(s):  
Design Science ◽  
New Method ◽  
Future Research ◽  
Development Projects ◽  
For Profit ◽  
Actual Outcome ◽  
Future Research Directions ◽  
Science Methodology ◽  
High Level

Results-based management (RBM) has become the choice of many governmental and non-governmental organisations, and not-for-profit agencies engaged in development projects. Despite its widespread adoption, tools and methods are still being developed to complement the framework. One of such methods sought by practitioners, according to the extant literature, is a method for project follow-up. Employing design science methodology, the study aimed to develop a new method that can be used to evaluate the gap between design and actual outcome of development projects. The research has resulted in a new method which proposed ten steps to perform project follow-up. The high-level requirements were evaluated using informed arguments. To warranty validity and impartiality of the evaluation of the method, the internal and external properties were evaluated by 37 qualified experts. The research has identified and suggested other methods that can be used to complement the designed method. The contribution of the study and potential future research directions are presented.

scholarly journals Comparative study between endoscopic cartilage myringoplasty and endoscopic temporalis fascia myringoplasty

2018 ◽  
Vol 5 (1) ◽  
pp. 24 ◽  
Author(s):  
P. Chozhan ◽  
M. Sankara Subramanian ◽  
D. Kannathal ◽  
R. Malarvizhi
Keyword(s):  
Comparative Study ◽  
Prospective Study ◽  
Temporalis Fascia ◽  
Ear Surgery ◽  
Medical College ◽  
The World ◽  
Prospective Comparative Study ◽  
Patient Series ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Myringoplasty is a common ear surgery performed all over the world. This study is focused on prospective comparative study using two different graft materials.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study done in the Department of ENT Stanley Medical College, Chennai during the period from March 2013 to September 2013. Sample size was 60 patients. Follow up was done till 6 months.  </p><p class="abstract"><strong>Results:</strong> Graft acceptance was achieved in 28 patients (93%) who underwent palisade cartilage myringoplasty, whereas it was achieved in 24 patients (80%) in the temporalis fascia myringoplasty group.</p><p class="abstract"><strong>Conclusions:</strong> The outcomes in our patient series indicate that cartilage myringoplasty achieves good results. Cartilage, a very effective material for the reconstruction of the TM and grafts can provide an excellent anatomical result, perfect stability and good functional outcome.</p>

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