meatoplasty of external auditory canal

What is meatoplasty of external auditory canal ?

meatoplasty of external auditory canal, also known as canalplasty or meatalplasty, is a surgical procedure aimed at widening or reshaping the external auditory canal. This canal plays a vital role in transmitting sound to the eardrum and allowing proper drainage of secretions and earwax. The procedure is performed to improve function or treat specific conditions.

Indications for meatoplasty of external auditory canal:

  • Adjunct to cholesteatoma removal surgeries: It is performed to provide better ventilation and drainage, reducing the likelihood of cholesteatoma recurrence.

  • Stenosis of the auditory canal: A congenital or acquired narrowing (due to trauma, infection, or previous surgeries) that may result in hearing loss, recurrent infections, or difficulty in ear hygiene.

  • Exostoses or bony tumors: Bony growths within the canal may partially or completely obstruct it, leading to hearing issues, infections, or discomfort.

  • Chronic otitis externa (swimmer’s ear): Recurrent infections that may cause canal narrowing or deformity; widening the canal can enhance ventilation and drainage, thereby reducing infection risk.

 

The procedure:

  • The surgeon removes excess tissue, bone, or obstructive growths using fine instruments.

     

  • The goal is to widen the canal and restore its proper function while preserving its natural shape as much as possible.

     

  • The technique varies depending on the patient’s condition and can be performed under local or general anesthesia.

Benefits:

  • Improved hearing if stenosis is the cause of hearing impairment.

  • Reduced frequency of ear infections.

  • Facilitated drainage of secretions and cerumen.

 

Notes:

  • The necessity of the procedure is determined by the physician based on clinical evaluation.

  • Postoperative follow-up is essential to ensure proper healing and prevent complications such as scarring or infection.