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Endaural meatoplasty: the Whipps Cross technique

Published online by Cambridge University Press:  13 September 2010

S Patil ,
J Ahmed  and
N Patel
S Patil
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
J Ahmed*
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
N Patel
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
*
Address for correspondence: Mr Jahangir Ahmed, 17 Nelson Street, London E1 2DL, UK Fax: +44 (0)207 829 8644 E-mail: jayahmed11@hotmail.com
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Abstract

Objective:

To describe our technique of endaural meatoplasty for mastoid surgery, and to publish an online video demonstration.

Method:

After the endaural incision, a skin incision is accurately marked over the anterior conchal bowl, identified by pushing the anti-helix anteriorly. This should meet the line of the endaural incision superiorly and extend inferiorly to the lower anterior edge of the conchal cartilage. After performing the incision, a segment of conchal cartilage is removed. The soft tissue meatoplasty is facilitated by resecting a triangular segment of skin and underlying soft tissue medial to the conchal incision (on which it is based). The free edges are closed with absorbable sutures after the (attico)mastoidectomy.

Results:

We have used this method on 64 patients over the past two years. Satisfactory functional and cosmetic outcomes were achieved in all.

Conclusion:

Our technique is simple, easy to learn, quick and effective in helping to achieve our goal of a dry mastoid cavity with an adequate meatoplasty.

Keywords

EndauralMeatoplastyMastoidectomyCanalplastyMeatalStenosis
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 1 , January 2011 , pp. 78 - 81
Copyright
Copyright © JLO (1984) Limited 2010

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References

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Patil meatoplasty movie

Patil meatoplasty movie

Download Patil meatoplasty movie(Audio)
Audio 37.7 MB