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Reduction meatoplasty with a post-auricular island flap

Published online by Cambridge University Press:  20 November 2006

R J Harvey ,
P Fagan  and
M Baldwin
R J Harvey
Affiliation:
Departments of Otolaryngology/Skull Base Surgery, Sydney, NSW Australia
P Fagan
Affiliation:
Departments of Otolaryngology/Skull Base Surgery, Sydney, NSW Australia
M Baldwin
Affiliation:
Plastic and Reconstructive Surgery, St Vincent's Hospital, Sydney, NSW, Australia
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Abstract

The importance of an adequate meatoplasty is often emphasised in mastoid surgery. However, bigger is not always better, as an excessively widened external meatus can be cosmetically unacceptable, provide little extra benefit for cleaning, be an obstacle to the good fitting of hearing aids and expose the mastoid cavity to exaggerated caloric effect.

The problems created by an overly large meatus can occasionally be difficult to manage, prompting consideration of reduction of the meatus. We describe the use of a pedicled, post-auricular skin flap to achieve reduction of an excessively large meatus.

Keywords

Ear, ExternalEar Deformities, AcquiredReconstructive Surgical Procedures
Type
Brief Report
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 2 , February 2007 , pp. 158 - 159
Copyright
2006 JLO (1984) Limited

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