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Postauricular cutaneous mastoid fistula is a rare complication of chronic otitis media, complicate ear surgery and, very rarely congenital cholesteatoma. The failure rate with simple closure is high due to necrotic skin edge. Therefore Several surgical techniques for closure of the this fistula have been described A 45-year-old woman with postauricular mastoid cutaneous fistula after canal wall down mastoidectomy was underwent fistula tract resection and fasciocutaneo-periosteal advancement flap repair. She has been followed up for six months with no recurrence. Postauricular advancement flap is effective for closure of persistent cutaneous mastoid fistula.

Postauricular Advancement Flap for Closure of Persistent Mastoid Cutaneous Fistula