The surgical anatomy of soft tissue layers in the mastoid region

Background An understanding of the soft tissue layers in the mastoid region has become important for otologic reconstructive surgery. The objective of this study was to clarify the surgical anatomy of the soft tissue layers in the mastoid region and reveal its clinical significance. Methods Cadaveri...

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Main Authors: Takahiro Hongo, Noritaka Komune, Ryo Shimamoto, Takashi Nakagawa
Format: Article
Language:English
Published: Wiley 2019-06-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.271
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author Takahiro Hongo
Noritaka Komune
Ryo Shimamoto
Takashi Nakagawa
author_facet Takahiro Hongo
Noritaka Komune
Ryo Shimamoto
Takashi Nakagawa
author_sort Takahiro Hongo
collection DOAJ
description Background An understanding of the soft tissue layers in the mastoid region has become important for otologic reconstructive surgery. The objective of this study was to clarify the surgical anatomy of the soft tissue layers in the mastoid region and reveal its clinical significance. Methods Cadaveric study. Results Our dissections showed the soft tissue layers consisting of skin, subcutaneous layer, superficial and deep mastoid fasciae, and periosteum. The superficial mastoid fascia was continuous with the temporoparietal fascia cranially and the superficial cervical fascia caudally. The deep mastoid fascia could be clearly separated from the superficial mastoid fascia and has continuity to the loose alveolar layer in the temporoparietal region. However, it caudally fused with the fascia and ligament of the sternocleidomastoid. Conclusions A comprehensive understanding of soft tissue layers would improve otologic reconstructive surgery. Level of Evidence NA
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spelling doaj.art-c76665c502f4414882d79f002f12f3332022-12-21T17:51:06ZengWileyLaryngoscope Investigative Otolaryngology2378-80382019-06-014335936410.1002/lio2.271The surgical anatomy of soft tissue layers in the mastoid regionTakahiro Hongo0Noritaka Komune1Ryo Shimamoto2Takashi Nakagawa3Department of Otorhinolaryngology, Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Otorhinolaryngology, Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Plastic Surgery Kyushu University Hospital Fukuoka JapanDepartment of Otorhinolaryngology, Graduate School of Medical Sciences Kyushu University Fukuoka JapanBackground An understanding of the soft tissue layers in the mastoid region has become important for otologic reconstructive surgery. The objective of this study was to clarify the surgical anatomy of the soft tissue layers in the mastoid region and reveal its clinical significance. Methods Cadaveric study. Results Our dissections showed the soft tissue layers consisting of skin, subcutaneous layer, superficial and deep mastoid fasciae, and periosteum. The superficial mastoid fascia was continuous with the temporoparietal fascia cranially and the superficial cervical fascia caudally. The deep mastoid fascia could be clearly separated from the superficial mastoid fascia and has continuity to the loose alveolar layer in the temporoparietal region. However, it caudally fused with the fascia and ligament of the sternocleidomastoid. Conclusions A comprehensive understanding of soft tissue layers would improve otologic reconstructive surgery. Level of Evidence NAhttps://doi.org/10.1002/lio2.271Temporal bone surgerysurgical anatomyotologycadaveric studyfascia
spellingShingle Takahiro Hongo
Noritaka Komune
Ryo Shimamoto
Takashi Nakagawa
The surgical anatomy of soft tissue layers in the mastoid region
Laryngoscope Investigative Otolaryngology
Temporal bone surgery
surgical anatomy
otology
cadaveric study
fascia
title The surgical anatomy of soft tissue layers in the mastoid region
title_full The surgical anatomy of soft tissue layers in the mastoid region
title_fullStr The surgical anatomy of soft tissue layers in the mastoid region
title_full_unstemmed The surgical anatomy of soft tissue layers in the mastoid region
title_short The surgical anatomy of soft tissue layers in the mastoid region
title_sort surgical anatomy of soft tissue layers in the mastoid region
topic Temporal bone surgery
surgical anatomy
otology
cadaveric study
fascia
url https://doi.org/10.1002/lio2.271
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