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Chronic ear surgery in irradiated temporal bones.

Publication ,  Journal Article
Bennett, M; Kaylie, D; Warren, F; Jackson, CG
Published in: Laryngoscope
July 2007

OBJECTIVE: To analyze outcomes of chronic ear surgery in patients with irradiated temporal bones. STUDY DESIGN: Retrospective case review. METHODS: Fifteen patients who received radiation involving the temporal bone underwent 21 surgical procedures from 1977 to 1997. Intraoperative findings, long-term complications, and hearing outcomes were analyzed. RESULTS: Over 50% of cases involved abnormal intraoperative findings including facial nerve dehiscence, labyrinthine fistulas, or dural exposure. Audiologic data revealed that these patients suffered from conductive, mixed, and sensorineural hearing loss. Long-term complications included tympanic membrane perforation and recurrent cholesteatoma. All patients had dry, non-draining ears at the end of the study. CONCLUSIONS: Irradiated temporal bones present difficult intraoperative anatomy and often require multiple procedures to cure otologic disease. Although radiation significantly reduces vascularity and hampers healing, vascularized reconstruction flaps are not necessary for good outcomes.

Duke Scholars

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

July 2007

Volume

117

Issue

7

Start / End Page

1240 / 1244

Location

United States

Related Subject Headings

  • Temporal Bone
  • Severity of Illness Index
  • Retrospective Studies
  • Recurrence
  • Radiotherapy
  • Radiation Injuries
  • Postoperative Complications
  • Otorhinolaryngology
  • Otologic Surgical Procedures
  • Monitoring, Intraoperative
 

Citation

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ICMJE
MLA
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Bennett, M., Kaylie, D., Warren, F., & Jackson, C. G. (2007). Chronic ear surgery in irradiated temporal bones. Laryngoscope, 117(7), 1240–1244. https://doi.org/10.1097/MLG.0b013e318060305c
Bennett, Marc, David Kaylie, Frank Warren, and C Gary Jackson. “Chronic ear surgery in irradiated temporal bones.Laryngoscope 117, no. 7 (July 2007): 1240–44. https://doi.org/10.1097/MLG.0b013e318060305c.
Bennett M, Kaylie D, Warren F, Jackson CG. Chronic ear surgery in irradiated temporal bones. Laryngoscope. 2007 Jul;117(7):1240–4.
Bennett, Marc, et al. “Chronic ear surgery in irradiated temporal bones.Laryngoscope, vol. 117, no. 7, July 2007, pp. 1240–44. Pubmed, doi:10.1097/MLG.0b013e318060305c.
Bennett M, Kaylie D, Warren F, Jackson CG. Chronic ear surgery in irradiated temporal bones. Laryngoscope. 2007 Jul;117(7):1240–1244.
Journal cover image

Published In

Laryngoscope

DOI

ISSN

0023-852X

Publication Date

July 2007

Volume

117

Issue

7

Start / End Page

1240 / 1244

Location

United States

Related Subject Headings

  • Temporal Bone
  • Severity of Illness Index
  • Retrospective Studies
  • Recurrence
  • Radiotherapy
  • Radiation Injuries
  • Postoperative Complications
  • Otorhinolaryngology
  • Otologic Surgical Procedures
  • Monitoring, Intraoperative