Use of autologous osteocyte containing bone pate for closure of tegmental defects

Objective: This article aimed to describe a new technique for the reconstru ction of middle fossa tegmental defects using autologous osteocyte containi ng bone pate. Study Design: The technique is demonstrated using clinical photographs and x-ray examples of tegmental defects. Technique: Pliable bone pate graft is manufactured using autologous bone du st, blood, iodine solution, and tissue glue (Tisseel; Immune, Austria). The graft is placed accurately via a combined mini-middle fossa craniotomy and middle mastoidectomy approach. Conclusion: This new technique of middle fossa bony tegmental repair has co nsiderable advantages over previously described methods that use rigid or s ynthetic materials.