How I do it: modified Todd's meatoplasty.

How I do it: modified Todd's meatoplasty.

J Laryngol Otol. 2016 Mar 21;:1-4

Authors: Elsamanody AN, Topsakal V, Grolman W, Tange RA

Abstract
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.

PMID: 26996631 [PubMed - as supplied by publisher]

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