eng Oriental Scientific Publishing Company Biomedical and Pharmacology Journal 0974-6242 2015-10-25 8 October Spl Edition 795 797 10.13005/bpj/785 4385 article 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. https://biomedpharmajournal.org/vol8octoberspledition/postauricular-advancement-flap-for-closure-of-persistent-mastoid-cutaneous-fistula/ Mastoid cutaneous fistula Cholesteatoma Mastoidectomy Flap