Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-28T05:51:06.821Z Has data issue: false hasContentIssue false
  • English
  • Français

Helix advancement meatoplasty

Published online by Cambridge University Press:  27 April 2012

P W A Goodyear ,
C E Reddy  and
T H J Lesser
P W A Goodyear*
Affiliation:
Department of Otolaryngology, University Hospital Aintree NHS Foundation Trust, Liverpool, UK
C E Reddy
Affiliation:
Department of Otolaryngology, University Hospital Aintree NHS Foundation Trust, Liverpool, UK
T H J Lesser
Affiliation:
Department of Otolaryngology, University Hospital Aintree NHS Foundation Trust, Liverpool, UK
*
Address for correspondence: Mr Paul W A Goodyear, Department of Otolaryngology, University Hospital Aintree NHS Foundation Trust, Lower Lane, Liverpool L9 7AL, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe a new technique of helix advancement meatoplasty. This technique is useful in both mastoid surgery and some cases of otitis externa. The technique is designed to avoid the problems of (1) inferior positioning of the meatoplasty at the time of surgery, and (2) later inferior migration of the pinna (as can occur when the suspensory ligaments of the pinna have been cut or weakened). Such outcomes can result in a mastoid cavity which is difficult to clean as the approach to it is awkward; in such cases, it is common to have to look up into the cavity rather than directly into it. Helix advancement meatoplasty improves post-operative visualisation and aeration. It eases cleaning of the cavity by creating a more superiorly placed meatoplasty, which is supported by the tragus and is therefore less likely to drop.

Keywords

MeatoplastyTympanoplastyComplications
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 6 , June 2012 , pp. 612 - 614
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Raut, VV, Rutka, JA. The Toronto meatoplasty: enhancing one's results in canal wall down procedures. Laryngoscope 2002;112:2093–5CrossRefGoogle ScholarPubMed
2Fisch, U, Chang, P, Linder, T. Meatoplasty for lateral stenosis of the external auditory canal. Laryngoscope 2002;112:1310–14CrossRefGoogle ScholarPubMed
3Rombout, J, van Rijn, PM. M-meatoplasty: results and patient satisfaction in 125 patients (199 ears). Otol Neurotol 2001;22:457–60CrossRefGoogle ScholarPubMed
4Haapaniemi, J, Laurikainen, E, Suonpää, J. Radical meatoplasty in the treatment of severe chronic external otitis. J Otorhinolaryngol Relat Spec 2001;63:41–5CrossRefGoogle ScholarPubMed
5Suskind, DL, Bigelow, CD, Knox, GW. Y modification of the Fisch meatoplasty. Otolaryngol Head Neck Surg 1999;121:126–7CrossRefGoogle ScholarPubMed
6Wormald, PJ, van Hasselt, CA. A technique of mastoidectomy and meatoplasty that minimizes factors associated with a discharging mastoid cavity. Laryngoscope 1999;109:478–82CrossRefGoogle ScholarPubMed
7Mirck, PG. The M-meatoplasty of the external auditory canal. Laryngoscope 1996;106:367–9CrossRefGoogle ScholarPubMed
8Grenner, J. How I do it: meatoplasty of the ear canal. J Otolaryngol 1996;25:188–90Google Scholar
9Stucker, FJ, Shaw, GY. Revision meatoplasty: management emphasizing de-epithelialized postauricular flaps. Otolaryngol Head Neck Surg 1991;105:433–9CrossRefGoogle ScholarPubMed
10Ali, MS. Unilateral secondary (acquired) postmastoidectomy low-set ear: postoperative complication with potential functional and cosmetic implications. J Otolaryngol Head Neck Surg 2009;38:240–5Google ScholarPubMed