[Skip to Content]
[Skip to Content Landing]
September 1991

Meatoplasty for Endaural Approach

Author Affiliations

Vellore, India

Arch Otolaryngol Head Neck Surg. 1991;117(9):1060. doi:10.1001/archotol.1991.01870210136026

To the Editor.—Meatoplasty is an important part of any type of canal down procedure of mastoidectomy to provide adequate ventilation for the cavity created. Meatoplasty has been described Left Right Left, The skin is undermined up to the dotted area laterally. The shaded postcanal/conchal cartilage ellipse is resected. The sutures are placed on this flap. Right, The sutures have been brought out at the postaural sulcus and are tied securely. for postaural incision and approach. But for the endaural incision and approach besides using the inferioror superior-based posterior canal skin flap to line the cavity, meatoplasty as such has not been described. Most surgeons remove an ellipse of the conchal cartilage but not the overlying skin while doing the standard endaural incision1 and expect the packing of canal to achieve a wider meatus. We have improved on this procedure by suturing the overlying skin to the postaural