Patil S, Ahmed J, Patel N
Department of ENT, Whipps Cross University Hospital, London, UK.
J Laryngol Otol. 2011 Jan;125(1):78-81. doi: 10.1017/S0022215110001842. Epub 2010 Sep 13.
To describe our technique of endaural meatoplasty for mastoid surgery, and to publish an online video demonstration.
After the endaural incision, a skin incision is accurately marked over the anterior conchal bowl, identified by pushing the anti-helix anteriorly. This should meet the line of the endaural incision superiorly and extend inferiorly to the lower anterior edge of the conchal cartilage. After performing the incision, a segment of conchal cartilage is removed. The soft tissue meatoplasty is facilitated by resecting a triangular segment of skin and underlying soft tissue medial to the conchal incision (on which it is based). The free edges are closed with absorbable sutures after the (attico)mastoidectomy.
We have used this method on 64 patients over the past two years. Satisfactory functional and cosmetic outcomes were achieved in all.
Our technique is simple, easy to learn, quick and effective in helping to achieve our goal of a dry mastoid cavity with an adequate meatoplasty.
描述我们用于乳突手术的耳内耳道成形术技术，并发布在线视频演示。
耳内切口后，在前耳甲腔上准确标记皮肤切口，通过向前推对耳轮来确定。该切口应在上方与耳内切口线相交，并向下延伸至耳甲软骨的下前缘。切开后，切除一段耳甲软骨。通过切除耳甲切口内侧（其基底所在处）的三角形皮肤及下方软组织来促进软组织耳道成形。（上鼓室）乳突切除术后，游离边缘用可吸收缝线缝合。
在过去两年中，我们已对64例患者使用了该方法。所有患者均取得了满意的功能和美容效果。
我们的技术简单、易于学习、快速且有效，有助于实现乳突腔干燥且耳道成形充分的目标。
