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Effectiveness of meatoplasty techniques alone or as adjunct to other surgeries in chronic ear disease: A systematic
Mariam Aljehani1, Ibrahim Tawfiq2, Fida Al-Muhawas1
1Department of Otolaryngology Head and Neck Surgery, King Abdullah's Ear Specialist Center, King Saud University, Riyadh, Saudi Arabia.
Background:
Meatoplasty is a surgical procedure that is used to treat chronic ear conditions such as chronic otitis media, cholesteatoma, and external auditory canal stenosis. Despite its widespread use, there is a lack of comprehensive analysis of the effectiveness of different meatoplasty approaches and their long-term outcomes. This systematic review aims to systematically analyze the existing studies to evaluate the effectiveness of meatoplasty and its approaches with a focus on surgical outcomes, postoperative complications, and patient satisfaction across diverse surgical approaches and patient demographics.
Methods:
The searches from databases like PubMed and Google Scholar for studies on meatoplasty in chronic ear surgeries from 2010 to 2024. Seventeen studies were selected based on predefined inclusion criteria, focusing on success rates, complications, and long-term outcomes. Data were extracted on patient demographics, surgical techniques, and outcomes, and the quality of evidence was assessed using the Newcastle Ottawa Scaleand the Cochrane risk of bias assessment tool.
Results:
The analysis of the included studies revealed diverse patient populations and varying meatoplasty approaches for treating chronic ear conditions. Most studies reported positive outcomes, with significant improvements in ear dryness, hearing, and symptom relief. Postoperative complications, such as meatal stenosis and granulation tissue, were rare and manageable, while the long-term follow-up was crucial for preventing restenosis. However, meatoplasty proved effective in restoring ear canal function, with both one-cut and Z-plasty techniques showing favorable results.
Conclusion:
Advancements in meatoplasty and related surgical techniques have shown great success in managing chronic ear conditions, alleviating symptoms, enhancing hearing, and improving overall quality of life. Their effectiveness is evident in high graft success rates and low complication rates, with innovative approaches and careful postoperative care effectively managing rare issues like stenosis, ensuring favorable long-term results.
