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Wound breakdown after middle cranial fossa craniotomy: An unusual complication after rhytidectomy

Authors

  • Aaron C. Moberly MD,

    Corresponding author
    1. Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.
    • Send correspondence to Aaron C. Moberly, Department of Otolaryngology, The Ohio State University, 915 Olentangy River Rd., Suite 4000, Columbus, OH 43212. E-mail: Aaron.Moberly@osumc.edu

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  • Benjamin C. Tweel MD,

    1. Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.
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  • D. Bradley Welling MD, PhD

    1. Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.
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  • Presented at the Triological Society Combined Sections Meeting, Scottsdale, Arizona, U.S.A., January 24–26, 2013.

  • The authors have no funding, financial relationships, or conflicts of interest to disclose.

Abstract

Wound complications after middle cranial fossa craniotomy are rare. We describe a patient who underwent a left middle fossa craniotomy for resection of a small internal auditory canal tumor with subsequent development of wound breakdown and infection 1 week postoperatively. Prompting of the patient elicited a history of bilateral rhytidectomies. Wound debridement, hyperbaric oxygen therapy, dermal regeneration template placement, and prolonged antibiotic treatment were performed. Complete secondary intention healing occurred with an acceptable cosmetic outcome. Prior rhytidectomy scars must be identified and incorporated into the surgical planning prior to performing middle fossa craniotomy incisions. Laryngoscope, 124:554–557, 2014

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