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The Singapore swing

Published online by Cambridge University Press:  29 June 2007

Alan G. Gibb ,
Kun Kiaang Tan  and
Roland S. T. Sim
Alan G. Gibb*
Affiliation:
Department of Otolaryngology, National University of Singapore, Singapore.
Kun Kiaang Tan
Affiliation:
Department of Otolaryngology, National University of Singapore, Singapore.
Roland S. T. Sim
Affiliation:
Department of Otolaryngology, National University Hospital, Singapore.
*
Address for correspondence: Alan G. Gibb, Visiting Professor, Department of Otolaryngology, National University of Singapore, 5, LowerKent Ridge Road, Singapore 119074. Fax: 65 7753820
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Abstract

The use of a rotation pedicled flap, entitled the ‘Singapore Swing’, comprising temporalis fascia and mastoid periosteum, is presented as a new method of promoting healing in ‘open’ mastoid surgery for chronic ear discharge. Cadaver studies show that the main blood supply of the flap is derived from a branch of the postauricular artery which enters the pedicle near the mastoid tip. A review of the first 14 operations showed complete healing with dry ears and intact tympanic membranes in all instances, three cases requiring secondary grafting of residual perforations. We consider the results sufficiently encouraging to merit an extended trial ofthe technique.

Keywords

Otitis media, suppurativeCholesteatomaSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 6 , June 1997 , pp. 527 - 530
Copyright
Copyright © JLO (1984) Limited 1997

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Footnotes

Paper presented at the XVI World Congress of Otolaryngology Head and Neck Surgery, Sydney, Australia.

References

Bocca, E. (1963) Panel on surgical approach, cavity management and post-operative care in ear surgery. (2nd Workshop on reconstructive middle ear surgery, Chicago) Archives ofOtolaryngology 78: 350–358.Google Scholar
Jenkins, G. J. (1925) Discussion on operative treatment of chronic middle ear suppuration. British MedicalJournal 12: 1109–1112.Google Scholar
Moffat, D. A., Gray, R. F., Irving, R. M. (1994) Mastoid obliteration using bone paté. Clinical Otolaryngology 19: 149–157.CrossRefGoogle ScholarPubMed
Popper, O. (1935) Periosteal flap grafts in mastoid operations. South African Medical Journal 9: 77–78.Google Scholar
Sadé, J., Weinburg, J., Berco, G., Brown, M., Halevy, A. (1982) The marsupialized (radical) mastoid. Journal of Laryngology and Otology 96: 869–875.CrossRefGoogle ScholarPubMed
Van Hasselt, C. A. (1994) Toynbee Memorial Lecture 1994. Mastoid surgery and the Hong Kong Flap. Journal of Laryngology and Otology 108: 825–833.CrossRefGoogle ScholarPubMed