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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Otorhinolaryngol. Aug 28, 2016; 6(3): 50-53
Published online Aug 28, 2016. doi: 10.5319/wjo.v6.i3.50
Meatoplasty: A novel technique and minireview
Todd Kanzara, Jagdeep S Virk, Anthony O Owa
Todd Kanzara, Jagdeep S Virk, Anthony O Owa, ENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Romford, Essex RM7 0AZ, United Kingdom
Author contributions: Kanzara T performed the majority of the writing and literature search; Virk JS assisted with manuscript design, literature search and proof reading; Owa AO provided senior supervision.
Conflict-of-interest statement: Nothing to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Todd Kanzara, LLB (Hons) MRCS (ENT), ENT Department, Queen’s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, United Kingdom. todd.kanzara@nhs.net
Telephone: +44-790-8960034 Fax: +44-208-8692964
Received: March 1, 2016
Peer-review started: March 1, 2016
First decision: April 15, 2016
Revised: May 12, 2016
Accepted: June 1, 2016
Article in press: June 3, 2016
Published online: August 28, 2016
Processing time: 176 Days and 1.8 Hours
Abstract

We describe a modified aural meatoplasty technique. The technique has been mainly used for mastoid surgery but it may also be used to address other causes of meatal stenosis. It involves removing most of the cartilage in the conchal bowl and soft tissue in the external auditory meatus. Cartilage from the helical root may also be sacrificed as part of this procedure. Our technique produces an excellent cosmetic result and an adequate meatoplasty which is easy to monitor in the outpatient setting.

Keywords: Meatoplasty; Cartilage; Reconstruction; Mastoid; Conchal bowl

Core tip: A successful meatoplasty addresses the bony, soft tissue and cartilaginous portions of the external auditory meatus. At least one, if not all these factors, can contribute to external auditory canal stenosis. Cartilage from the helical root can be resected in order to create an adequate meatoplasty.