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. 2020 May;130(5):1294-1298.
doi: 10.1002/lary.28186. Epub 2019 Jul 10.

Efficacy of the mini-meatoplasty

Varun V Varadarajan  1 , Patrick J Antonelli  1
Affiliations

Efficacy of the mini-meatoplasty

Varun V Varadarajan et al. Laryngoscope. 2020 May.

Abstract

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.

Level of evidence: 4 Laryngoscope, 130:1294-1298, 2020.

Keywords: Meatoplasty; chronic ear disease; tympanoplasty.

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References

BIBLIOGRAPHY

    1. Paparella MM. Surgical treatment of intractable external otitis. Laryngoscope 1966;76:1136-1147.
    1. Paparella MM, Meyerhoff WL. “How I do it”-otology and neurology: a specific issue and its solution. Meatoplasty. Laryngoscope 1978;88(2 Pt 1):357-359.
    1. Todd NW. Transposition postauricular flap meatoplasty. Laryngoscope 1980;90(8 Pt 1):1393-1395.
    1. Beal DD, Stewart KC, Stallings JO, Sessions DG. Meatoplasty transposition flaps. Laryngoscope 1972;82:404-407.
    1. Adkins WY, Osguthorpe JD. Management of canal stenosis with a transposition flap. Laryngoscope 1981;91:1267-1269.

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