Z-meatoplasty technique in endaural approach mastoidectomy

Creating an adequate meatoplasty is an important and integral part of a mastoidectomy. It allows ventilation of the ear canal but also provides for an easy access for visualizing and cleaning the mastoid cavity. There are numerous techniques for performing a meatoplasty. We describe our method of utilizing the endaural incision and superiorly based tympanomeatal flap incision to create an easy and effective Z-meatoplasty.