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Updated: Apr 28, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
The swing-door island flap canalplasty technique
Claudia Nogueira1, Fatima Mallick2, Sushila Kaushal2
1ENT Department, University Hospitals of Leicester, Leicester, UK claudianogueira1@gmail.com.
A novel swing-door island flap canalplasty effectively treats chronic refractory otitis externa. This surgical technique provided satisfactory results with no symptom recurrence in patients.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Chronic refractory otitis externa presents persistent symptoms.
- Existing treatments may not fully resolve the condition.
Purpose of the Study:
- To describe a new canalplasty technique for chronic refractory otitis externa.
- To evaluate the efficacy of the swing-door island flap canalplasty.
Main Methods:
- A swing-door island flap and periosteal flap canalplasty was performed.
- The study included 13 patients (19 ears) with long-standing symptoms (mean 12 years).
Main Results:
- All patients experienced a satisfactory postoperative course.
- No recurrence of otitis externa symptoms was observed.
Conclusions:
- The swing-door island flap canalplasty is an effective surgical option.
- This technique offers a successful treatment for refractory otitis externa.
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