How I do it--post mastoidectomy reconstruction

Traditionally, there are two approaches for mastoidectomy, namely:canal wall up and canal wall down. Canal wall up approach avoids an open mastoid cavity post-operatively but harbours the disadvantage of a reported higher incidence of recurrence of disease. Canal wall down approach has a reciprocal advantage and disadvantage. This paper reveals a methods of post mastoidectomy reconstruction of the posterior canal wall using the posterior canal skin.