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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Reduction meatoplasty with a post-auricular island flap.
R J Harvey1, P Fagan, M Baldwin
1Department of Otolaryngology/Skull Base Surgery, St Vincent's Hospital, Sydney, NSW, Australia. richard@richardharvey.com.au
The Journal of Laryngology and Otology
|November 23, 2006
Summary
Excessive meatoplasty in mastoid surgery can cause cosmetic issues and hearing aid problems. A new technique using a post-auricular skin flap effectively reduces an overly large external meatus.
Area of Science:
- Otolaryngology, specifically otologic surgery and audiology.
Background:
- Meatoplasty is a common procedure in mastoid surgery to ensure adequate airway.
- However, an excessively wide meatoplasty can lead to adverse outcomes, including cosmetic dissatisfaction, poor hearing aid fit, and increased caloric sensitivity.
- Managing an overly large meatus can be challenging, necessitating reconstructive techniques.
Purpose of the Study:
- To describe a surgical technique for reducing an excessively widened external meatus.
- To present a method for correcting meatoplasty complications.
Main Methods:
- The study describes the use of a pedicled, post-auricular skin flap.
- This flap is utilized to reconstruct and reduce the dimensions of an enlarged external auditory meatus.
Main Results:
- The described technique allows for the reduction of an excessively large meatus.
- This method addresses the complications associated with over-widened meatoplasty.
Conclusions:
- A pedicled, post-auricular skin flap is an effective option for reducing an excessively large meatus.
- This technique can resolve issues related to over-widened meatoplasty in mastoid surgery.