71 The Use of Sternocleidomastoid Rotational and Cervicofacial Advancement Flap for Closure of a Persistent Mastoid Cutaneous Fistula

Abstract Introduction Postauricular mastoid fistula is a rare occurrence, typically following repeated soft tissue injury, commonly caused by chronic suppurative otitis media and surgical treatments. Management challenging with limited number of reported, successful techniques, which often have applicability. Case report We present case 55-year-old male patient persistent right post-auricular cutaneous as result two previous mastoidectomies. Although the underwent simple primary closures, recurred. This was successfully treated new technique utilising Sternocleidomastoid Rotational Cervicofascial Advancement Flap completely healed at 1-year follow-up without recurrence fistula. Conclusions novel provided definitive obliteration By double layered flap, via facelift incision, flap results in an excellent functional cosmetic result.