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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: paulgoodyear@btinternet.com
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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

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