Meatoplasty transposition flaps

Beal, David D.; Stewart, Keith; Stallings, James O.; Sessions, Donald G.

doi:10.1288/00005537-197203000-00007

Cited by 13 publications

(5 citation statements)

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“…Four patients required a split-thickness skin graft to cover the new ear canal; a full-thickness skin graft was used on one patient. Preauricular and partially buried postauricular flaps were used in another patient to line the ear canal, as described by Beal et al [10] . The remaining 18 patients did not require any additional material for coverage; in these patients, the remaining ear canal skin was preserved and used for secondary epithelialization of the ear canal.…”

Section: Resultsmentioning

confidence: 99%

Management of Acquired Atresia of the External Auditory Canal

Bajin¹,

Yılmaz²,

Günaydın³

et al. 2015

Int Adv Otol

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OBJECTIVE:The aim was to evaluate surgical techniques and their relationship to postoperative success rate and hearing outcomes in acquired atresia of the external auditory canal. MATERIALS and METHODS:In this article, 24 patients with acquired atresia of the external auditory canal were retrospectively evaluated regarding their canal status, hearing, and postoperative success. RESULTS:Acquired stenosis occurs more commonly in males with a male: female ratio of 2-3:1; it seems to be a disorder affecting young adults. Previous ear surgery (13 patients, 54.2%) and external ear trauma (11 patients, 45.8%) were the main etiological factors of acquired ear canal stenosis. Mastoidectomy (12/13) and traffic accidents (8/11) comprise the majority of these etiological factors. Endaural incision is performed in 79.2% and postauricular incision for 20.8% of cases during the operation. As types of surgical approach, transcanal (70.8%), transmastoid (20.8%), and combined (8.4%) approaches are chosen. The atretic plate is generally located at the bony-cartilaginous junction (37.5%) and in the cartilaginous canal (33.3%); the bony canal is involved in a few cases only. Preserved healthy canal skin, split-or full-thickness skin grafts, or pre-or postauricular skin flaps are used to line the ear canal, but preserved healthy canal skin is preferred. CONCLUSION:The results of surgery are generally satisfactory, and complications are few if surgical principles are followed.

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Section: Resultsmentioning

confidence: 99%

Management of Acquired Atresia of the External Auditory Canal

Bajin¹,

Yılmaz²,

Günaydın³

et al. 2015

Int Adv Otol

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“…Stenosis of the cartilaginous auditory canal is still difficult to resolve and many techniques of plastic surgery, often of very different types, have been proposed [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18]. Stenosis may be iatrogenic, post-inflammatory, or even occasionally post-traumatic [2,6,10,15,16].…”

Section: Introductionmentioning

confidence: 99%

Conchomeatoplasty: a new technique

Giacomarra¹,

Spinato

Bullo

et al. 2013

Eur Arch Otorhinolaryngol

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Stenosis of the cartilaginous auditory canal is still difficult to resolve and many techniques of plastic surgery have been proposed. Our experience was first built up in treatment of stenosis of the tracheostomy in patients who had undergone laryngectomy. Since it is simple and effective, we have transferred and modified the technique to the treatment of stenosis of the external auditory canal and of the concha. Fourteen patients with stenosis of the cartilaginous auditory canal (diameters of the stenosis prior to surgery varied from 19 to 78.5 mm(2)) underwent day-surgery conchomeatoplasty under local anaesthesia. Eight months after the operation, the results are good. Following surgery, the surface of the auditory canal, measured at the narrowest point of the external auditory meatus, varied from a minimum of 113 mm(2) to a maximum of 254 mm(2). The technique we propose to correct the stenosis of the external auditory canal is easy to carry out, short, and may be performed under local anaesthesia. Lastly, the auditory canal and the ear auricle have a good blood supply, thus ensuring the flaps will survive.

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“…A variety of transposition and rotation flaps from meatus and periauricular skin in addition to excision of cartilage and soft tissue through both endaural and postauricular approaches have been described. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The meatal opening after traditional meatoplasty may be configured and optimized to the shape of the mastoid cavity by applying sutures from the subdermal surface the conchomeatal flap to the mastoid periosteum. 19 In the mini-meatoplasty, a meatus-controlling stitch is placed from the conchal cartilage perichondrium and directed superior and posteriorly.…”

Section: Discussionmentioning

confidence: 99%

“…Most involve removal of conchal cartilage and periauricular soft tissues. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] In this pilot study, we describe a novel technique termed the mini-meatoplasty for increasing meatus width in conjunction with bony canalplasty. We introduce the use of Hegar dilators to measure the lateral meatus before and after mini-meatoplasty.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of the mini‐meatoplasty

Varadarajan

Antonelli

2019

The Laryngoscope

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Objectives: The lateral meatoplasty is a well-described technique for widening the lateral external auditory meatus. After bony canalplasty, the external auditory meatus may need to be enlarged to accommodate an expanded tympanic ring. In this study, we introduce a novel meatoplasty technique for use during canalplasty and describe its efficacy in widening the external auditory meatus.Methods: Patients undergoing at least 180-degree bony canalplasty and mini-meatoplasty at a tertiary care facility were enrolled. Meatus diameter was measured before and after mini-meatoplasty using Shea aural speculums and Hegar dilators.Results: Nineteen patients were enrolled. Mean preoperative speculum size was 6.1 mm (range 3.5-7.5 mm). All postoperative speculum sizes were 8 mm (P < .0001). Mean preoperative and postoperative Hegar dilator sizes were 10.6 mm (range 7-14 mm) and 16.2 mm (range 13-19 mm), respectively (P < .0001). The mean increase in aural speculum and Hegar dilator sizes were 1.9 mm (range 0.5-3.5 mm) and 5.7 mm (range 3-10 mm), respectively (P < .0001).Conclusions: The mini-meatoplasty is a novel and effective technique for widening the external auditory meatus after bony canalplasty.

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Meatoplasty transposition flaps

Cited by 13 publications

References 0 publications

Management of Acquired Atresia of the External Auditory Canal

Management of Acquired Atresia of the External Auditory Canal

Conchomeatoplasty: a new technique

Efficacy of the mini‐meatoplasty

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