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Skull base surgery. 1991 January; 1(1): 39–42.
PMCID: PMC1656307

Management of the External Auditory Canal in Skull Base Surgery


Transtemporal approaches to the skull base are being used with increasing frequency. When the external auditory canal is transected in the course of these operations, the risk of cerebrospinal fluid fistula is created. When hearing is to be sacrificed, we use a modification of the technique developed by Rambo for closure of the external auditory canal. This technique permits a cosmetically acceptable reliable watertight closure. When hearing is to be salvaged, we use a “conchal flap technique,” which prevents circumferential scarring and stenosis and permits a watertight suture closure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • RAMBO JHT. Primary closure of the radical mastoidectomy wound: a technique to eliminate postoperative care. Laryngoscope. 1958 Jul;68(7):1216–1227. [PubMed]
  • Jackson CG, Glasscock ME, 3rd, Harris PF. Glomus Tumors. Diagnosis, classification, and management of large lesions. Arch Otolaryngol. 1982 Jul;108(7):401–410. [PubMed]

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