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1 results

  • How I do it: modified Todd's meatoplasty

  • A N Elsamanody, V Topsakal, W Grolman, R A Tange
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue 5 / May 2016
    Published online by Cambridge University Press:
    21 March 2016, pp. 497-500
    Print publication:
    May 2016
  • 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.