Extradimension of fasciocutaneous flap in the surgical management of postaural fistula, a complication of chronic otitis media – squamous type


  • Madhubari Vathulya Department of ENT, AIIMS Rishikesh, Rishikesh
  • Manu Malhotra Department of ENT, AIIMS Rishikesh, Rishikesh
  • Saurabh Varshney Department of ENT, AIIMS Rishikesh, Rishikesh




Postaural fistula, Fasciocutaneous flaps, Chronic otitis media- squamous type


Post aural fistula is one of the complications of squamous variety of chronic otitis media (COM-S). For decades together a lot of new surgical techniques have been introduced in the treatment of COM-S out of which canal wall down mastoidectomy is most commonly practised. Despite these efforts many patients presenting with COM-S end up in tertiary referral centers at a late stage with complications like fistulas and by this time a number of procedures have already been done on them. A 19 year old female presents with Postaural fistula as a complication of COM- S type. Due to the local scarring, newer flap options needed to be sought to obliterate the mastoid cavity. This article demonstrates the extra dimension for the usage of fasciocutaneous flap from neck region to treat patients of recurrent postaural fistula.

Author Biographies

Madhubari Vathulya, Department of ENT, AIIMS Rishikesh, Rishikesh

Assistanat Professor,

Burns and plastic surgery

Manu Malhotra, Department of ENT, AIIMS Rishikesh, Rishikesh

Associate professor

ENT department

Saurabh Varshney, Department of ENT, AIIMS Rishikesh, Rishikesh

Professor adn head of department

Ent department


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Case Reports