{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:38:05Z","timestamp":1756309085378},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T00:00:00Z","timestamp":1559779200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215119001063_sec_a1\"><jats:title>Background<\/jats:title><jats:p>A post-auricular cutaneous mastoid fistula is a rare condition that can occur following radical mastoid surgery, chronic suppurative otitis media or spontaneous exteriorisation of cholesteatoma from the mastoid through the post-auricular skin surface. Management of a post-auricular cutaneous mastoid fistula can be challenging for the surgeon.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001063_sec_a2\"><jats:title>Objective<\/jats:title><jats:p>This paper describes a surgical refinement for post-auricular cutaneous mastoid fistula closure, involving a fibro-muscular-periosteal flap to cover the mastoid cavity, combined with a bilobed flap from the mastoid and lateral neck regions for skin closure.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001063_sec_a3\"><jats:title>Method and results<\/jats:title><jats:p>A case of a post-auricular cutaneous mastoid fistula developed after revision tympanoplasty for a cholesteatoma. The condition was successfully treated with the presented technique. Pre- and post-operative photographs are provided for demonstration.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119001063_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The fibro-muscular-periosteal flap combined with a bilobed flap from the mastoid and lateral neck regions, in our view, can be considered a valid option for post-auricular cutaneous mastoid fistula closure.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215119001063","type":"journal-article","created":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T10:30:59Z","timestamp":1559817059000},"page":"723-726","source":"Crossref","is-referenced-by-count":4,"title":["Fibro-muscular-periosteal flap and bilobed flap for post-auricular cutaneous mastoid fistula closure"],"prefix":"10.1017","volume":"133","author":[{"given":"A L","family":"Pendolino","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Pavone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Zanoletti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,6,6]]},"reference":[{"key":"S0022215119001063_ref5","doi-asserted-by":"publisher","DOI":"10.1258\/0022215042703633"},{"key":"S0022215119001063_ref9","first-page":"223","volume-title":"Excision and Reconstruction in Head and Neck Cancer","author":"Weerda","year":"1994"},{"key":"S0022215119001063_ref1","first-page":"E1","article-title":"Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas","volume":"88","author":"Bhat","year":"2009","journal-title":"Ear Nose Throat J"},{"key":"S0022215119001063_ref6","first-page":"133","article-title":"Treatment of postauricular cutaneous mastoid fistula by superficial temporalis transposition flap [in Korean]","volume":"31","author":"Lee","year":"2004","journal-title":"J Korean Soc Plast Reconstr Surg"},{"key":"S0022215119001063_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812451426a296"},{"key":"S0022215119001063_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.otpol.2014.02.001"},{"key":"S0022215119001063_ref2","first-page":"E33","article-title":"A large postauricular cutaneous mastoid fistula caused by a cholesteatoma","volume":"89","author":"Wadhera","year":"2010","journal-title":"Ear Nose Throat J"},{"key":"S0022215119001063_ref4","first-page":"567","article-title":"Post-operative mastoid fistula: closure by use of temporalis muscle transplant","volume":"26","author":"Asherson","year":"1933","journal-title":"Proc R Soc Med"},{"key":"S0022215119001063_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800121"},{"key":"S0022215119001063_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2006.06.022"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215119001063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,7]],"date-time":"2019-10-07T11:45:50Z","timestamp":1570448750000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215119001063\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,6]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["S0022215119001063"],"URL":"https:\/\/doi.org\/10.1017\/s0022215119001063","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,6]]}}}