Aim: Ear reconstruction is a challenge for plastic and reconstructive surgeons. The ear requires sufficient skin coverage and a three-dimensional (3D) cartilage framework. In this paper, the authors present their 10-year experience in microtia reconstruction using tissue expansion and an autogenous rib cartilage framework. Methods: Ear reconstruction was performed in 3 operative stages. During ...

IMPORTANCE Heterotopic glial tissue is a rare, benign congenital anomaly that can present as a fibrous mass with or without overt signs of neural tissue origin, such as overlying alopecia, pigmentation, or a "hair collar" sign. These lesions are typically found in the midline area, though they have been found laterally involving the mastoid and middle ear regions. As demonstrated by this case r...

OBJECTIVES Mastoid obliteration is used to obliterate the mastoid cavity following a mastoidectomy or to prevent the formation of a retraction pocket. This study evaluated the effectiveness of β-tricalcium phosphate and polyphosphate (β-TPP) for mastoid obliteration in middle ear surgeries in prospective human and animal studies. METHODS Twenty patients with chronic otitis media underwent mas...

Objectives: Mastoid obliterations are performed for a variety of indications, including chronic otitis media with cholesteatoma. One risk is of masking cholesteatomatous debris, which can subsequently proceed medially and cause suppurative complications. This study hypothesizes that autologous cranial bone graft used as bone pate (BP) in mastoid obliteration is of a lower density than surroundi...

OBJECTIVES To evaluate the usefulness of silicone blocks as graft material for mastoid cavity obliteration in the prevention of problematic mastoid cavities after canal wall down mastoidectomies. METHODS Retrospective evaluation of 20 patients who underwent mastoid obliteration with silicone blocks between 2002 and 2009 at the Chonnam National University Hospital. The cases consisted of 17 pa...

Nine patients are presented who underwent cochlear implantation in the presence of chronic suppurative otitis media. Four had a simple tympanic membrane perforation, four had a pre-existing mastoid cavity and one had cholesteatoma in the ear chosen for implantation. Patients with a simple perforation had a staged procedure with myringoplasty followed by cochlear implantation after an interval o...

OBJECTIVE To describe long-term outcomes of external auditory canal wall reconstruction using bioactive glass ceramic (Ceravital) after canal wall down mastoidectomy. DESIGN Retrospective review of a case series over a 21-year period, with a mean +/- SD follow-up of 13.1 +/- 6.7 years (range, 0.2-20.5 years). SETTING Private otologic practice. PATIENTS The study population comprised 20 co...

A rare case of Nocardia infection of mastoid is presented in an immunocompromised patient.