Create A Large Meatus

Stenosis of the external canal or meatus, or both, is the most frequent complication requiring revision surgery. In my experience, this occurs in 20% of patients.13 To minimize this problem, the meatal opening should be approximately twice the normal size. The soft tissue is debulked from the area around the meatus to limit the length of the membranous canal and its propensity to collapse. An anteriorly based, full-thickness skin flap from the conchal area of the reconstructed auricle could also be used to line a portion of the anterior external canal to obviate a circumferential suture line at the meatal opening.

0 0

Post a comment