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How I do it: modified Todd's meatoplasty.

Authors
  • Elsamanody, A N1
  • Topsakal, V1
  • Grolman, W1
  • Tange, R A1
  • 1 Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands. , (Netherlands)
Type
Published Article
Journal
The Journal of Laryngology & Otology
Publisher
Cambridge University Press
Publication Date
May 01, 2016
Volume
130
Issue
5
Pages
497–500
Identifiers
DOI: 10.1017/S002221511600075X
PMID: 26996631
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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. Retrospective review. Academic tertiary referral centre. 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. 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. The postauricular flap meatoplasty is a valuable tool in the management of chronic otorrhoea after an open cavity approach for cholesteatoma.

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