Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-04-30T19:17:54.129Z Has data issue: false hasContentIssue false
  • English
  • Français

Endaural meatoplasty: the Whipps Cross technique

Published online by Cambridge University Press:  13 September 2010

S Patil ,
J Ahmed  and
N Patel
S Patil
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
J Ahmed*
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
N Patel
Affiliation:
Department of ENT, Whipps Cross University Hospital, London, UK
*
Address for correspondence: Mr Jahangir Ahmed, 17 Nelson Street, London E1 2DL, UK Fax: +44 (0)207 829 8644 E-mail: jayahmed11@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To describe our technique of endaural meatoplasty for mastoid surgery, and to publish an online video demonstration.

Method:

After the endaural incision, a skin incision is accurately marked over the anterior conchal bowl, identified by pushing the anti-helix anteriorly. This should meet the line of the endaural incision superiorly and extend inferiorly to the lower anterior edge of the conchal cartilage. After performing the incision, a segment of conchal cartilage is removed. The soft tissue meatoplasty is facilitated by resecting a triangular segment of skin and underlying soft tissue medial to the conchal incision (on which it is based). The free edges are closed with absorbable sutures after the (attico)mastoidectomy.

Results:

We have used this method on 64 patients over the past two years. Satisfactory functional and cosmetic outcomes were achieved in all.

Conclusion:

Our technique is simple, easy to learn, quick and effective in helping to achieve our goal of a dry mastoid cavity with an adequate meatoplasty.

Keywords

EndauralMeatoplastyMastoidectomyCanalplastyMeatalStenosis
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 1 , January 2011 , pp. 78 - 81
Copyright
Copyright © JLO (1984) Limited 2010

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

1 Lempert, J. Endaural, antauricular surgical approach to the temporal bone. Principles involved in this new approach; summary report of 1,780 cases. Arch Otolaryngol 1938;27:555–87CrossRefGoogle Scholar
2 Wormald, PJ, Nilssen, EL. The facial ridge and the discharging mastoid cavity. Laryngoscope 1998;108:92–6CrossRefGoogle ScholarPubMed
3 Wormald, 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
4 Sade, J, Weinberg, J, Berco, E, Brown, M, Halevy, A. The marsupialized (radical) mastoid. J Laryngol Otol 1982;96:869–75CrossRefGoogle ScholarPubMed
5 Phillips, WC. The radical mastoid operation. In: Phillips, WC, ed. Diseases of the Ear Nose and Throat, Medical and Surgical. Philadelphia: FA Davis, 1929;311–43Google Scholar
6 Tos, M. The Open Cavity. In: Tos M. Manual of Middle Ear Surgery. Vol. 2: Mastoid Surgery and Reconstructive procedures. New York: Thieme, 1995;294–314Google Scholar
7 Osborne, JE, Martin, FW. Endaural meatoplasty for mastoid cavities. Clin Otolaryngol Allied Sci 1990;15:453–5CrossRefGoogle ScholarPubMed
8 Martin-Hirsch, DP, Smelt, GJ. Conchal flap meatoplasty. J Laryngol Otol 1993;107:1029–31CrossRefGoogle ScholarPubMed
9 Banerjee, AR, Moir, AA, Jervis, P, Narula, AA. A canalplasty technique for the surgical treatment of chronic otitis externa. Clin Otolaryngol Allied Sci 1995;20:150–2CrossRefGoogle ScholarPubMed
10 Osborne, JE, Terry, RM, Gandhi, AG. Large meatoplasty technique for mastoid cavities. Clin Otolaryngol Allied Sci 1985;10:357–60CrossRefGoogle ScholarPubMed
11 Murray, DP, Jassar, P, Lee, MS, Veitch, DY. Z-meatoplasty technique in endaural approach mastoidectomy. J Laryngol Otol 2000;114:526–7CrossRefGoogle ScholarPubMed
12 Kumar, PJ, Smelt, GJ. A long term follow up of conchal flap meatoplasty in chronic otitis externa. J Laryngol Otol 2007;121:1–4CrossRefGoogle ScholarPubMed
13 Hunsaker, DH. Conchomeatoplasty for chronic otitis externa. Arch Otolaryngol Head Neck Surg 1988;114:395–8CrossRefGoogle ScholarPubMed

Patil meatoplasty movie

Patil meatoplasty movie

Download Patil meatoplasty movie(Audio)
Audio 37.7 MB