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How I do it: modified Todd's meatoplasty

Published online by Cambridge University Press:  21 March 2016

A N Elsamanody ,
V Topsakal ,
W Grolman  and
R A Tange
A N Elsamanody*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, the Netherlands Department of Otorhinolaryngology, Al-Hussein University Hospital, Al-Azhar University, Cairo, Egypt
V Topsakal
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, the Netherlands
W Grolman
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, the Netherlands
R A Tange
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Rudolf Magnus Institute of Neuroscience, University Medical Centre Utrecht, the Netherlands
*
Address for correspondence: Dr A N Elsamanody, Room G05.122, House Post Number: G05.129, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands E-mail: [email protected]
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Abstract

Background:

Chronic otorrhoea after canal wall down mastoidectomy can be a clinical challenge. Basic principles for canal wall down surgery include establishing a large meatus. Several meatoplasty techniques have been reported. This paper describes this new indication for Todd's meatoplasty with surgical improvements.

Study design:

Retrospective review.

Setting:

Academic tertiary referral centre.

Methods:

Modifications of transposition postauricular flap meatoplasty are reported. This technique was applied in a series of patients with chronic otorrhoea after a canal wall down mastoidectomy.

Results:

In general, a dry radical cavity was successfully created within six weeks and follow-up visits at the out-patient clinic were reduced. Only minor complications occurred, which are all reported.

Conclusion:

The postauricular flap meatoplasty is a valuable tool in the management of chronic otorrhoea after an open cavity approach for cholesteatoma.

Keywords

Otitis MediaOtologic Surgical ProceduresExternal Acoustic MeatusTympanoplasty
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 497 - 500
Copyright
Copyright © JLO (1984) Limited 2016 

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References

1 Raut, VV, Rutka, J. The Toronto meatoplasty: enhancing one's results in canal wall down procedures. Laryngoscope 2002;112:2093–5CrossRefGoogle ScholarPubMed
2 Fisch, U, Chang, P, Linder, T. Meatoplasty for lateral stenosis of the external auditory canal. Laryngoscope 2002;112:1310–14CrossRefGoogle ScholarPubMed
3 Paparella, MM, Kurkjian, JM. Surgical treatment for chronic stenosing external otitis (including finding of unusual canal tumor). Laryngoscope 1966;76:232–45CrossRefGoogle ScholarPubMed
4 Soliman, T, Fatt-Hi, A, Abdel, Kadir M. A simplified technique for the management of acquired stenosis of the external auditory canal. J Laryngol Otol 1980;94:549–52CrossRefGoogle ScholarPubMed
5 Hunsaker, DH. Conchomeatoplasty for chronic otitis externa. Arch Otolaryngol Head Neck Surg 1988;114:395–8Google Scholar
6 Mirck, PG. The M-meatoplasty of the external auditory canal. Laryngoscope 1996;106:367–9CrossRefGoogle ScholarPubMed
7 Tos, M. Manual of Middle Ear Surgery. Vol. 3: Surgery of the External Auditory Canal. Stuttgart: Thieme, 1997;85–120 Google Scholar
8 Todd, NW Jr. Transposition postauricular flap meatoplasty. Laryngoscope 1980;90:1393–5Google Scholar
9 Friedberg, J. Correction of congenital meatal atresia of the ear using a superiorly based postauricular pedicle flap. J Otolaryngol 1977;6:5–10 Google ScholarPubMed
10 Sloan, GM, Reinisch, JF. Flap physiology and the prediction of flap viability. Hand Clin 1985;1:609–19Google Scholar